Hockey Stick-shaped Merocel(R) Adenoid Packing on Adenoid Bleeding

Lee, Seung Hoon; Kwon, Yun Hwan; Lee, Heung Man; Choi, Ji Hoon; Lee, Sang Hag; Kwon, Soon Young

Abstract

BACKGROUND AND OBJECTIVES
Effective control of bleeding from the adenoidectomy site is more difficult than bleeding from the tonsillectomy site. We report that continuous adenoid bleeding following adenoidectomy was effectively controlled by hoc-key stick-shaped Merocel(R). SUBJECTS AND METHOD: Twenty-three cases of massive bleeding in children who were not treated to electrocauterization and epinephrine packing during adenoidectomy and 6 cases of immediate bleeding on adenoid on the day after operation in pediatric patients were included. In 23 cases of massive bleeding during operation, hockey stick-shaped Merocel(R) was inserted through both nasal cavity at the brink of the end of operation. In 6 cases of immediate bleeding after operation, it was inserted to the nasopharynx through nasal cavity after local infiltration anesthesia for nasal mucosa. We evaluate the clinical usefulness of the hockey stick-shaped Merocel(R) packing. RESULTS: There was no postoperative bleeding in all cases of compressive hemostasis using hockey stick-shaped Merocel(R). There were temporary complications such as nasal obstruction, ear fullness, globus sensation and dysphagia, which were resolved after removal of Merocel(R). There were no severe complications such as sleep apnea or respiratory disturbance. CONCLUSION: Effective hemostasis for continuous adenoidectomy site bleeding in children was achieved using hockey stick-shaped Merocel(R) without severe complications.