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ENT surgery in children with inherited bleeding disorders
B Conlon1, N Daly, I Temperely
1Department of Otolaryngology, National Children's Hospital, Dublin, Republic of Ireland.
The Journal of Laryngology and Otology
|October 1, 1996
Summary
Children with inherited bleeding disorders can safely undergo ENT surgeries like tonsillectomy. This study shows elective procedures are feasible with careful hematology collaboration, minimizing risks for these patients.
Area of Science:
- Otolaryngology
- Hematology
- Pediatric Surgery
Background:
- Inherited bleeding disorders are often seen as a contraindication for tonsillectomy and other ENT procedures.
- Managing surgical risks in pediatric patients with bleeding conditions requires specialized approaches.
Purpose of the Study:
- To evaluate the safety and feasibility of elective tonsillectomies and myringotomies in children with inherited bleeding disorders.
- To present a collaborative management strategy between ENT surgery and hematology.
Main Methods:
- A retrospective review of 15 elective tonsillectomies and 5 bilateral myringotomies performed on pediatric patients with inherited bleeding disorders over 15 years.
- Procedures were conducted with close collaboration from the hospital's Haematology Department.
Main Results:
- All ten tonsillectomies and five myringotomies were performed uneventfully.
- One patient experienced secondary hemorrhage post-tonsillectomy, managed conservatively without surgical intervention.
- The team approach facilitated safe surgical interventions.
Conclusions:
- Elective ENT surgeries, including tonsillectomy, can be safely performed in select pediatric patients with inherited bleeding disorders.
- Close cooperation between surgical and hematology teams is crucial for successful outcomes.
- This approach challenges the absolute contraindication for necessary surgical interventions in this patient group.