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Halitosis and Pain Post Electrocautery Adenoidectomy

1,2,3,*, 4,5, 5 and 2,6
1
Division of Surgery and Peri-Operative Medicine, Flinders Medical Centre, Bedford Park, Adelaide 5042, Australia
2
Otolaryngology, Head and Neck Surgery, Flinders Medical Centre, Bedford Park, Adelaide 5042, Australia
3
Joanna Briggs Insitute, The University of Adelaide, Adelaide 5000, Australia
4
Department of General Surgery, Flinders Medical Centre, Bedford Park, Adelaide 5042, Australia
5
College of Medicine and Public Health, Flinders University, Bedford Park, Adelaide 5042, Australia
6
Department of Surgery, Flinders University, Bedford Park, Adelaide 5042, Australia
*
Author to whom correspondence should be addressed.
Medicina 2019, 55(6), 312; https://doi.org/10.3390/medicina55060312
Received: 29 April 2019 / Revised: 9 June 2019 / Accepted: 18 June 2019 / Published: 25 June 2019
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PDF [634 KB, uploaded 26 June 2019]
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Abstract

Background and Objectives: Electrocautery adenoidectomy (ECA) is a common procedure performed in paediatric otolaryngology. ECA has been preferred over curettage adenoidectomy due to its lower intraoperative bleeding rates, decreased procedure time, and higher subjective success. However, post-ECA symptoms of pain and halitosis have never been studied. The objective of our study was to identify the pattern of post-ECA halitosis and pain in the paediatric population. Materials and Methods: This is a single centre, prospective observational study that uses visual analogue scales (VAS) by parent proxy to assess post-ECA pain and halitosis in paediatric patients (age < 18) in South Australia. A total of 19 patients were enrolled in the study and followed for seven days. Results: Postoperative pain and halitosis reaches a peak 3 days post-ECA (median = 2 for pain; median = 6 for halitosis) but resolves 7 days post-ECA (median = 0 for both). Conclusions: Our study demonstrates that halitosis and pain occur over a seven-day period in patients undergoing ECA and will resolve post-operatively with simple analgesia and without antibiotics. View Full-Text
Keywords: electrocautery adenoidectomy; halitosis; pain; otolaryngology; pediatric procedures electrocautery adenoidectomy; halitosis; pain; otolaryngology; pediatric procedures
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Soumya, S.; Vissapragada, R.; Le, J.; Ooi, E.H. Halitosis and Pain Post Electrocautery Adenoidectomy. Medicina 2019, 55, 312.

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