Nanoparticle Concentration in Surgical Plume During Tonsillectomy: A Comparison of Four Techniques.
Laryngoscope
; 134(5): 2444-2448, 2024 May.
Article
em En
| MEDLINE
| ID: mdl-37983867
ABSTRACT
OBJECTIVE:
Surgical plume has known potential occupational health hazards. This study compares nanoparticle concentrations in surgical plumes generated between different pediatric tonsillectomy surgical techniques and assesses the efficacy of mitigation measures.METHODS:
This is a cross-sectional study performed at a tertiary care academic center. Extracapsular or intracapsular tonsillectomy was performed in 60 patients using four techniques and in 10 additional patients using mitigation measures. Two nanoparticle counters were used to measure particulate concentrations CPC™ and DiSCmini™. Tonsillectomy techniques included (1) microdebrider (MD), (2) Bovie with manual suctioning by an assistant (B), (3) Bovie with built-in smoke evacuation system (BS), and (4) Coblator™ (CB). An additional Yankauer suction was used in the mitigation groups (BSY) and (CBY). Comparative analysis was performed using one-way ANOVA on ranks and pairwise comparisons between the groups.RESULTS:
The mean concentrations (particles/cm3) and coefficient of variants for the DiSCmini particulate counter were MD 5140 (1.6), B 30700 (1.5), BS 25001 (0.8), CB 54814 (1.7), CBY 2395 (1.3) and BSY 11552 (1.0). Mean concentrations for the CPC particulate counter were MD 1223 (1.4), B 3405 (0.7), BS 5002 (0.9), CB 13273 (1.0), CBY 1048 (1.2) and BSY 3046 (0.6). The lowest mean concentrations were noted in cases using MD and the highest in cases using CB. However, after mitigation, CBY had the lowest overall levels.CONCLUSION:
Tonsillectomy technique does impact the levels of nanoparticles emitted within the surgical plume, which may present an occupational hazard for operating room personnel. LEVEL OF EVIDENCE 3 Laryngoscope, 1342444-2448, 2024.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Tonsilectomia
Limite:
Child
/
Humans
Idioma:
En
Revista:
Laryngoscope
Assunto da revista:
OTORRINOLARINGOLOGIA
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Estados Unidos