| Monopolar electrocautery in adenoidectomy as a possible risk factor for Grisel's syndrome. | |
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MedLine Citation:
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PMID: 12172260 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES/HYPOTHESIS: Grisel syndrome is a nontraumatic atlantoaxial subluxation after an inflammatory process in the upper cervical region. It results from a peripharyngeal infection as well as a rare complication following adenotonsillectomy. After the introduction of monopolar suction electrocautery in adenoidectomy, an increased incidence of Grisel's syndrome has been observed. The purpose of the study was to evaluate monopolar suction electrocautery as a possible risk factor. STUDY DESIGN: Retrospective chart review along with current measurements of monopolar and bipolar electrocautery during adenoidectomy. METHODS: The charts of 1431 consecutive cases of adenoidectomy were reviewed before (n = 710) and after (n = 721) the introduction of monopolar suction electrocautery for intraoperative hemostasis. Moreover, energy of delivered current of electrocautery was measured in 30 pediatric patients during adenoidectomy. RESULTS: Three cases of Grisel's syndrome occurred as a postoperative complication in 721 adenoidectomies (0.4%) after the introduction of monopolar suction electrocautery. In contrast, no Grisel's syndrome was observed in 710 procedures before the use of monopolar electrocautery. Current measurements demonstrate an almost fourfold higher level of electrical energy using monopolar electrocautery compared with bipolar coagulation for bleeding control in adenoidectomy. CONCLUSION: Monopolar suction cautery in adenoidectomy may be considered as a risk factor for Grisel's syndrome. |
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Authors:
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Kurt Tschopp |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Laryngoscope Volume: 112 ISSN: 0023-852X ISO Abbreviation: Laryngoscope Publication Date: 2002 Aug |
Date Detail:
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Created Date: 2002-08-12 Completed Date: 2002-09-27 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8607378 Medline TA: Laryngoscope Country: United States |
Other Details:
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Languages: eng Pagination: 1445-9 Citation Subset: IM |
Affiliation:
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Department of Otorhinolaryngology, Kantonsspital Liestal, Liestal, Switzerland. kurt.tschopp@ksli.ch |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adenoidectomy
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adverse effects*,
methods* Atlanto-Axial Joint* Child Dislocations / epidemiology*, etiology* Electrocoagulation / adverse effects* Humans Incidence Retrospective Studies Risk Factors Syndrome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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