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ENT surgery in children with inherited bleeding disorders

Published online by Cambridge University Press:  29 June 2007

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

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.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1996

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