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Using a new otologic operating microscope: unexpected complications.

Marine Parodi1, Briac Thierry1, Marion Blanchard1

  • 1Pediatric ENT Department, Necker-Sick Children Hospital, 149 rue de Sèvres, 75015 Paris, France.

International Journal of Pediatric Otorhinolaryngology
|April 1, 2015
PubMed
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Routine otologic surgery may cause auricular burns in children, potentially from the operating microscope. Most cases resulted in keloid scars, but serious complications like cartilage loss were avoided.

Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Medical Device Safety

Background:

  • Auricular burns are an uncommon complication following otologic surgery.
  • The exact cause of these burns in pediatric patients is not well-established.
  • Potential thermal injury from surgical equipment requires investigation.

Purpose of the Study:

  • To investigate the incidence and characteristics of auricular burns in children undergoing otologic surgery.
  • To identify the potential source of thermal injury, specifically the operating microscope.
  • To evaluate the clinical outcomes and sequelae of these burns.

Main Methods:

  • Single-center retrospective study.
  • Reviewed cases of pediatric patients who developed auricular burns post-otologic surgery between April 2013 and January 2014.
Keywords:
ComplicationOperating microscopeOtologic surgerySkin burn

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  • Assessed burn characteristics, scar formation, and complications, excluding physical or electrical trauma.

    • Main Results:

    • Eight pediatric patients presented with auricular burns after otologic surgery.
    • The median age of affected children was 10.1 years.
    • Six patients developed keloid scars; two had minor scars without other sequelae. No cases of chondritis or cartilage loss were observed.
    • The operating microscope was identified as the likely cause of thermal damage.

    Conclusions:

    • The operating microscope may be a source of thermal injury leading to auricular burns in pediatric otologic surgery.
    • While most burns resulted in keloid scarring, significant complications were not observed in this cohort.
    • Further research and vigilance are recommended to prevent microscope-induced thermal injuries during otologic procedures.