JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2015, Vol. 29 ›› Issue (1): 1-4.doi: 10.6040/j.issn.1673-3770.0.2014.334

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Application of harmonic scalpel in children with obstructive sleep apnea and hyponea syndrome

LI Jun-zheng1, GAO Xiang1, WU Gai-zhen1, CHEN Sha1, WANG Jie1, TIAN Wen-dong2, LI Xiang-ping2   

  1. 1. The Fifth People's Hospital of Dongguan, Dongguan 523900, Guangdong, China;
    2. Nanfang Hospital, Southern Medical University, Guangzhou 510515, Guangdong, China
  • Received:2014-10-08 Online:2015-02-16 Published:2015-02-16

Abstract: Objective To investigate the effectiveness of harmonic scalpel assisted adenotonsillectomy in the treatment of children with obstructive sleep apnea and hyponea syndrome(OSAHS). Method 38 cases of children with OSAHS were randomly divided into ultrasonic scalpel group (group A, 18 cases) and control group (group B, 20 cases). The adenotonsillectomy was operated with harmonic scalpel in group A, but without in group B. The blood loss, the operation time, postoperative pain, the condition of wounds were compared between the two groups. Results The operative blood loss, operation time, incidence of postoperative hemorrhage of the group A were much less than those of the group B, while no difference in postoperative pain and condition of wounds were noted between the two groups. Conclusion The application of harmonic scalpel in adenotonsillectomy for children with OSAHS is safe, efficient and feasible.

Key words: Harmonic scalpel, Polysomnography, Obstructive sleep apnea hypopnea syndrome, Tonsillectomy, Pediatric, Adenoidectomy

CLC Number: 

  • R766.9
[1] Guilleminault C, Quo S D. Sleep-disordered breathing. A view at the new Millennium[J]. Dent Clin North Am, 2001, 45(4):643-656.
[2] Tapia I E, Marcus C L. Newer treatment modalities for pediatric obstructive sleep apnea[J]. Paediatr Respir Rev, 2013, 14(3):199-203.
[3] 中华耳鼻咽喉头颈外科杂志编委会,中华医学会耳鼻咽喉科学分会.儿童阻塞性睡眠呼吸暂停低通气综合征诊疗指南草案(乌鲁木齐)[J].中华耳鼻咽喉头颈外科杂志,2007,42(2):83-84. Editorial Board of Chinese Journal of Otorhinolary. Chinese Otorhinolaryngology of Chinese Medical Ass. Draft of guidelines for the diagnosis and treatment of pediatric sleep apnea hypopnea syndrome (Urumqi)[J]. Chin J Otorhinolaryngology Head Neck Surg, 2007, 42(2):83-84.
[4] Kemal O. Harmonic scalpel versus bipolar tonsillectomy: a double-blind clinical trial[J]. Eur Arch Otorhinolaryngol, 2012, 269(5):1533-1536.
[5] Tan H L, Gozal D, Kheirandish-Gozal L. Obstructive sleep apnea in children: a critical update[J]. Nat Sci Sleep, 2013, 5(5):109-123.
[6] Ali N S, Ikram M, Akhtar S, et al. Harmonic scalpel versus electrocautery tonsillectomy: a comparative study in adult patients[J]. J Pak Med Assoc, 2011, 61(3):256-259.
[7] Ramos S D, Mukerji S, Pine H S.Tonsillectomy and adenoidectomy[J]. Pediatr Clin North Am, 2013, 60(4):793-807.
[8] Alexander N S, Schroeder J W Jr. Pediatric obstructive sleep apnea syndrome[J]. Pediatr Clin North Am, 2013, 60(4):827-840.
[9] Ribeiro G H, Kerr L M, Haikel R L, et al. Modified radical mastectomy: a pilot clinical trial comparing the use of conventional electric scalpel and harmonic scalpel[J]. Int J Surg, 2013,11(6):496-500.
[10] 周婕,翟锦明,陈观贵,等.超声刀在扁桃体切除手术中的应用[J].中华耳鼻咽喉头颈外科杂志,2012,47(4):324-326. ZHOU Jie, ZHAI Jinming, CHEN Guangui, et al. Application of ultracision-harmonic scalpel for tonsillectomy[J]. Chin J Otorhinolaryngology Head Neck Surg, 2007, 42(2):83-84.
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