Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2024, Vol. 38 ›› Issue (5): 26-30.doi: 10.6040/j.issn.1673-3770.0.2023.394

• Original Article • Previous Articles    

Application of plasma pointlike excitation technology in children with obstructive sleep apnea undergoing tonsillectomy and adenoidectomy combined with perioperative enhanced recovery after surgery program

LUO Lu1, ZHOU En2, XIAO Xuping2, LIN Zhiqiang1, FANG Zhijie1, LYU Xiaohong1   

  1. 1. Department of Otorhinolaryngology, Gusu School Nanjing Medical University/Suzhou Municipal Hospital/the Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou 215008, Jiangsu, China2. Department of Otorhinolaryngology & Head and Neck Surgery, Hunan Provincial People's Hospital/the First Affiliated Hospital of Hunan Normal University, Changsha 410000, Hunan, China
  • Published:2024-09-25

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Abstract: Objective To explore the application efficacy of plasma pointlike excitation technology in children with obstructive sleep apnea(OSA)undergoing tonsillectomy and adenoidectomy combined with perioperative enhanced recovery after surgery(ERAS)program. Methods For this study, 160 children with OSA were included. All the children underwent plasma tonsillectomy and adenoid ablation, and then adopted the method of the enhanced recovery during the perioperative period. They were randomly divided into the observation group(receiving plasma pointlike excitation)and the control group(undergoing conventional plasma surgery)according to their admission numbers(odd and even), 80 cases in each group. Perioperative indicators were assessed for the two groups. Results The postoperative pain, mild in all the children, gradually decreased as time went by, and almost disappeared in most of the children on the 7th day after surgery. At the same time point, the pain was lower in the observation group than in the control group(P<0.01 for all). The observation group exhibited significant decreases in terms of surgical duration(26.850±2.536)min and intraoperative blood loss(1.738±0.896)mL when compared to the control group(29.188±2.960)min and(4.838±2.923)mL, and the differences between the two groups were statistically significant(P<0.01 for all). The compliance rate of postoperative oral energy intake was higher in the observation group than in the control group(χ2=12.172, P<0.01). One child in the control group had transient oropharyngeal bleeding for 7 days after the surgery, which was improved after symptomatic treatment. There was no recurrence of postoperative bleeding in the observation group. No statistically significant differences existed in either postoperative low fever or the recurrence of bleeding between the two groups(P>0.05). Conclusion The application of plasma pointlike excitation technology in tonsillectomy and adenoidectomy for OSA children can optimize the enhanced recovery after the operation, reduce intraoperative bleeding, shorten operative duration, and lower postoperative pain, so this technology is worthy of clinical application and promotion.

Key words: Plasma pointlike excitation technology, ERAS, Pediatric obstructive sleep apnea, Tonsillectomy and adenoidectomy, Perioperative

CLC Number: 

  • R766.9
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