Kadir Çağdaş KAZIKDAŞ, Mustafa Asım ŞAFAK

Bipolar-assisted tonsil reduction: a simple and inexpensive tonsillotomy technique

Objective: This study aims to investigate the novel use of a simple and inexpensive bipolar-assisted tonsil reduction (B-TR) technique in pediatric cases with adenotonsillar hyperplasia by evaluating long-term results, possible complications, need for reoperation and incidence of recurrence. Methods:We present our long-term retrospective data from 78 consecutive pediatric cases undergoing B-TR combined with adenoidectomy from April 2013 to January 2017. The tonsillar sizes were recorded using the Brodsky grading scale from I to IV, and the patients only with prominant tonsillar sizes (III and higher) and adenoidal sizes exceeding 50% were included in the study group. The tonsil sizes were noted preoperatively, and during the latest follow-up visit after tonsillotomy (min. 9 months postoperatively). Results: With a mean follow-up period of 18.3 months, the mean tonsillar size preoperatively was 3.47 (±0.50) and mean tonsillar size postoperatively was 1.35 (±0.48). A significant difference (p

Bipolar-destekli tonsil küçültme: Basit ve düﬂük maliyetli bir tonsillotomi tekniği

Amaç: Bu çal›ﬂmada, adenotonsiller hiperplazisi olan pediatrik olgularda basit, ucuz ve yeni bir yöntem olarak bipolar-destekli tonsil küçültme (BTK) tekni¤inin, uzun dönem sonuçlar›n›, olas› komplikasyonlar›n›, revizyon cerrahisi ihtiyac›n› ve rekürrens insidans›n› de¤erlendirerek klinik kullan›m›n› araﬂt›rmay› amaçlad›k. Yöntem: Nisan 2013 ile Ocak 2017 aras›ndaki periyotta adenoidektomi ile birlikte BTK uygulanan ard›ﬂ›k 78 çocuk hastam›zdan elde etti¤imiz uzun dönem retrospektif verilerimizi sunmaktay›z. Tonsil boyutlar›, I’den IV’e kadar Brodsky dereceleme skalas› kullan›larak kaydedildi ve sadece belirgin derecede hipertrofik tonsilleri olan (III ve üstü) ve adenoid boyutlar› %50’yi aﬂan hastalar çal›ﬂma grubuna dahil edildi. Tonsil boyutlar› preoperatif olarak ve tonsillotomi sonras›ndaki en son takip s›ras›nda (postoperatif min. 9 ay) dosyalar›na kaydedildi. Bulgular: Ortalama 18.3 ayl›k izlem süresi sonras›nda, operasyon öncesi ortalama tonsil büyüklü¤ü 3.47 (±0.50), operasyon sonras› ortalama tonsil boyutu ise 1.35 (±0.48) olarak kaydedildi. Daha geç dönemde klasik tonsillektomi uygulanan bir hastam›z ç›kar›ld›¤›nda, bu iki grup aras›nda istatistiksel aç›dan anlaml› bir fark saptand› (p

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