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Adenotonsillectomy in high risk patients: Hematologic abnormalities and COVID-19 considerations

Ryan Ruiz1, Kavita Dedhia1

  • 1Department of Otolaryngology-Head and Neck Surgery, University of Pennsylvania, Children's Hospital of Philadelphia, Philadelphia 19104, USA.

World Journal of Otorhinolaryngology - Head and Neck Surgery
|June 7, 2021
PubMed

Insights

Adenotonsillectomy carries risks, especially for children with blood disorders during the COVID-19 pandemic. This review covers screening, management, and risk mitigation strategies for these pediatric patients.

Area of Science:

  • Otolaryngology
  • Pediatric Hematology
  • Infectious Disease Epidemiology

Background:

  • Adenotonsillectomy is a frequent otolaryngologic surgery.
  • Children with hematologic disorders present unique surgical risks.
  • The COVID-19 pandemic introduced additional complexities to surgical procedures.

Purpose of the Study:

  • To review common hematologic disorders in pediatric patients undergoing adenotonsillectomy.
  • To outline screening and management protocols for these high-risk patients.
  • To discuss the impact of the COVID-19 pandemic on adenotonsillectomy and risk mitigation strategies.

Main Methods:

  • Literature review of pediatric hematologic disorders.
  • Analysis of surgical risks associated with adenotonsillectomy.
  • Review of COVID-19 pandemic guidelines relevant to otolaryngologic surgery.

Main Results:

  • Identified common hematologic disorders requiring specific attention.
  • Detailed appropriate pre-operative screening and intra-operative management.
  • Highlighted increased risks during the COVID-19 pandemic and proposed mitigation tactics.

Conclusions:

  • Awareness of hematologic disorders and pandemic status is crucial for safe adenotonsillectomy.
  • Standardized screening and management protocols can minimize risks.
  • Proactive measures are necessary to ensure patient safety in the current healthcare climate.

Keywords:
AdenotonsillectomyBleeding disordersCovid-19PediatricsRecurrent tonsillitisSickle cell diseaseSleep apneaTonsillectomyTonsillectomy and adenoidectomy

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