Hostname: page-component-6766d58669-vgfm9 Total loading time: 0 Render date: 2026-05-18T21:56:51.866Z Has data issue: false hasContentIssue false
  • English
  • Français

ENT surgery in children with inherited bleeding disorders

Published online by Cambridge University Press:  29 June 2007

B. Conlon ,
N. Daly ,
I. Temperely  and
D. McShane
B. Conlon*
Affiliation:
Department of Otolaryngology, The National Children's Hospital, Harcourt Street, Dublin, Republic of Ireland.
N. Daly
Affiliation:
Department of Otolaryngology, The National Children's Hospital, Harcourt Street, Dublin, Republic of Ireland.
I. Temperely
Affiliation:
Department of Haematology, The National Children's Hospital, Harcourt Street, Dublin, Republic of Ireland.
D. McShane
Affiliation:
Department of Otolaryngology, The National Children's Hospital, Harcourt Street, Dublin, Republic of Ireland.
*
Address for correspondence: Mr D. McShane, The Children's Hospital, Harcourt Street, Dublin 2
Get access Rights & Permissions [Opens in a new window]

Abstract

Inherited bleeding disorders are frequently considered an absolute contraindication to tonsillectomy and other ENT procedures. Over a 15-year period we have performed ten elective tonsillectomies and five bilateral myringotomies on children with inherited bleeding disorders. All procedures were carried out with the close co-operation of the Haematology Department in the hospital. All patients underwent uneventful surgery. One patient returned after tonsillectomy with a secondary haemorrhage which did not require surgical intervention. We present our team approach to the management of these children and demonstrate that necessary surgical intervention can be undertaken safely in this select group of patients.

Keywords

TonsillectomyHaemophiliavon Willebrand's disease

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 10 , October 1996 , pp. 947 - 949
Copyright
Copyright © JLO (1984) Limited 1996

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

Alusi, G., Grant, W., Lee, C., Pasi, K., Stearns, M. (1995) Bleeding after tonsillectomy in severe von Willebrand's disease. Journal of Laryngology and Otology 109: 437–439.CrossRefGoogle ScholarPubMed
Carruth, J. A. S. (1969) Post-tonsillectomy haemorrhage in a carrier of Haemophilia A. Journal of Laryngology and Otology 83: 1035–1037.CrossRefGoogle Scholar
Craddock, C. J. Jr., Fenniger, L. D., Simmons, B. (1948) Hemophilia: Problem of surgical interventions for accompanying diseases. Annals of Surgery 128: 888.CrossRefGoogle Scholar
Harrison, H. C., Lammi, A. (1991) Adenoidectomy in a girl with haemophilia. Journal of Laryngology and Otology 105: 975–978.CrossRefGoogle Scholar
Prinsley, P., Wood, M., Lee, C. (1993) Adenotonsillectomy in patients with inherited bleeding disorders. Clinical Otolaryngology 18: 206–208.CrossRefGoogle ScholarPubMed
Rosner, F. (1969) Haemophilia in the Talmud and rabbinic writings. Annals of Internal Medicine 70: 833.CrossRefGoogle ScholarPubMed
Scott, J., Jackler, R., Koerper, M. (1988) Management of haemophilia in otolaryngologic surgery. Archives of Otolaryngology, Head and Neck Surgery 114: 1145–1148.CrossRefGoogle ScholarPubMed