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[Treatment of patients with chronic adenoiditis and abnormal coagulation]

O I Bergen, T P Sukhneva, V G Sturov

    Vestnik Otorinolaringologii
    |December 15, 2005
    PubMed

    Insights

    Chronic adenoiditis in children often leads to bleeding during surgery. Preoperative tests reveal platelet issues, with Streptococcus pneumoniae as a common cause, necessitating targeted hemostatic therapy.

    Area of Science:

    • Pediatric Otolaryngology
    • Hematology
    • Infectious Diseases

    Background:

    • Chronic adenoiditis (CA) is a common pediatric ENT condition requiring surgical intervention (adenotomy).
    • Hemorrhagic complications during adenotomy are frequent, highlighting the need for hemostasis assessment.
    • CA is linked to systemic disorders, including coagulatory disturbances.

    Purpose of the Study:

    • To investigate hemostatic disorders in children with chronic adenoiditis.
    • To identify etiological agents and pathogenetic mechanisms of coagulatory disturbances in CA.
    • To propose a diagnostic algorithm and therapeutic strategy for hemostatic disorders in CA.

    Main Methods:

    • Preoperative examination of 43 children diagnosed with chronic adenoiditis.
    • Assessment of hemostasis and platelet function.
    • Identification of etiological agents, focusing on Streptococcus pneumoniae.

    Main Results:

    • Dysaggregation thrombocytopathies were the primary hemostatic disorder detected.
    • Streptococcus pneumoniae was identified as a dominant etiological agent.
    • Chronic focal infection plays a role in the pathogenesis of systemic disorders in CA, including coagulatory issues.

    Conclusions:

    • A significant proportion of children with CA exhibit hemostatic disorders, mainly thrombocytopathies.
    • Streptococcus pneumoniae and chronic focal infection are implicated in the pathogenesis of coagulatory disturbances in CA.
    • A proposed algorithm for diagnosing and a program for treating hemostatic disorders in CA children can improve surgical outcomes.

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