Beata Pucher

Multiple, delayed post-tonsillectomy bleedings in 11-year-old girl as a result of vascular abnormality and anastomosis. Case report

Tonsillectomy and adenoidectomy are the most common surgical procedures in pediatric otolaryngology. The incidence of primary hemorrhage after tonsillectomy in children ranges from 0.38 to 6%. The prevalence of secondary bleeding occurs in 0.5%-9.3% cases [1]. Authors present a case of an 11-year-old girl who experienced 6 delayed, massive post-tonsillectomy bleedings as a result of presence of vascular malformation and the activation of collateral circulation as a result of the left ECA ligature.

Prevalence of allergy in children with adenoid hypertrophy and otitis media with effusion admitted to the Department of Pediatric Otolaryngology in Poznan

Background. allergic diseases are the most common chronic illnesses in children. it is said that patients with allergy more often suffer from adenoid hypertrophy and otitis media with effusion than non-allergic patients. Objectives. to estabilish the prevalence of allergy in children with adenoid hypertrophy with or without otitis media with effusion (oMe) admitted to the department of Pediatric otolaryngology in Poznan between 05.2017 and 05.2018 and to check if allergy affects the incidence of oMe and adenoid hypertrophy. Material and methods. each patient admitted for adenoidecomy or tympanostomy tube placement or both was carefully interviewed to check if they suffered from allergic diseases. in every patient with oMe, a preoperative tympanometry and pure tone audiogram or otoacoustic emission was performed. the data was analyzed statistically. the chi-square test was used, with a p value < 0.05. Results. 153 patients aged 2 to 16 years (68 girls and 85 boys) were admitted to the Poznan Pediatric otolaryngology department between 05.2017 and 05.2018. the children were divided in to three age subgroups. 16.9% of children undergoing adenoidectomy and 17.4% of children undergoing adenoidectomy with tympanostomy tube placement suffered from allergic disease. allergy did not affect the incidence of oMe or adenoid hypertrophy, but this finding was not statistically significant. oMe diagnosis and ear tube placement was statistically more often seen in boys (p = 0.02, chi2 = 5.39). Conclusions. Prevalence of allergy was higher in boys and they had more often ear tubes placement performed. that difference was statistically significant. allergy in our study group did not influence the prevalence of oMe, nor the adenoid hypertrophy.

The Central Neck Dissection or the Modified Sistrunk Procedure in the Treatment of the Thyroglossal Duct Cysts in Children: Our Experience

Background The aim of the study was to present the surgical techniques providing the lowest recurrence rate in treatment of the primary and recurrent thyroglossal duct cyst (TGDC) in children. Methods The study included 73 patients operated on because of TGDC in years 2011–2016. Ultrasound was performed in all patients preoperatively. In 8 patients with the recurrence of the disease, the CT or MR was carried out before the surgery. Children with the primary disease underwent the modified Sistrunk procedure. In the revision cases the central neck dissection was a method of choice. Results In 45 children, the modified Sistrunk procedure was performed and 28 underwent the central neck dissection. In 2 patients, hematoma occurred after the modified Sistrunk procedure with the need of the surgical revision in one. No complications were observed after the central neck dissection. Conclusions A modified Sistrunk procedure is method of choice in the treatment of the uncomplicated TGDC. In selected cases of the TGDC with a history of infected cyst or incision of an abscess or in revision cases the central neck dissection should be considered in order to avoid the risk of the further recurrences.