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Turkish Journal of Medical Sciences

Abstract

Background/aim: The aim of this study was to evaluate the incidence of transient bacteremia after coblation-assisted intracapsular partial tonsillectomy (tonsillotomy) in children.

Materials and methods: This prospective study included 42 children with grade 3–4 tonsillar hypertrophy who underwent coblation-assisted tonsillotomy for obstructive sleep apnea syndrome. Aerobic and anaerobic blood cultures were obtained preoperatively and immediately after tonsillotomy. Intraoperative throat cultures were also obtained before mucosal manipulation.

Results: All preoperative blood cultures were negative. Postoperative blood cultures were positive in two patients (4.8%; 95% CI, 0.6%– 16.2%). Streptococcus pyogenes and Actinomyces spp. were isolated. The patient with S. pyogenes bacteremia also had S. pyogenes in the corresponding throat culture. No clinical complications related to transient bacteremia were observed.

Conclusion: This is the first study on evaluation of transient bacteremia after coblation-assisted tonsillotomy. Although the technique is minimally invasive, transient bacteremia occurred in 4.8% of the children. Antibiotic prophylaxis should be considered individually in patients at high risk for bacteremia-related complications, in accordance with current recommendations.

Author ORCID Identifier

YÜCE İSLAMOĞLU: 0000-0002-1294-7088

SAMİ BERCİNBERÇİN: 0000-0003-3626-5492

BENGİ ARSLAN: 0000-0002-2713-897X

GÖKHAN ATİK: 0009-0009-7364-8637

MEHMET AK: 0009-0006-5382-7265

MUHAMMED OZCANÖZCAN: 0000-0003-1014-1088

SELMAN SECKİNSEÇKİN: 0009-0005-4641-6698

EZGİ ERKİLİCERKILIÇ: 0000-0002-1211-9354

BEDİA DİNCDİNÇ: 0000-0001-8318-2556

DOI

10.55730/1300-0144.6367

Keywords

coblation, bacteremia, intracapsular partial tonsillectomy, pediatric otolaryngology, Tonsillotomy

First Page

1230

Last Page

1234

Publisher

The Scientific and Technological Research Council of Türkiye (TÜBİTAK)

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

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