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A Simple Suggestion to Reduce Perioral Burns During Adenotonsillectomy
Udayan K. Shah, MD
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I read with great interest the article titled "Perioral Burns After Adenotonsillectomy: A Potentially Serious Complication" by Nuara et al,1 which appeared in the January 2008 issue of the Archives. One way to reduce the likelihood of burns that result from thermal conduction as well as from "flash" or "arc" effects of electrocautery devices against generally noninsulated metallic instruments is to keep a gloved finger between the oropharyngeal and lip mucosa and the metal. The gloved finger may help to retract the lip as well as to provide insulation against the burn.
I hope that your readers find this suggestion helpful. It is an important point that we stress to our trainees.
AUTHOR INFORMATION
Correspondence: Dr Shah, Division of Pediatric Otolaryngology, Alfred I. duPont Hospital for Children, PO Box 269, Wilmington, DE 19899 (ushah@nemours.org).
1. Nuara MJ, Park AH, Alder SC, Smith ME, Kelly S, Muntz H. Perioral burns after adenotonsillectomy: a potentially serious complication. Arch Otolaryngol Head Neck Surg. 2008;134(1):10-15.
FREE FULL TEXT
Arch Otolaryngol Head Neck Surg. 2008;134(6):673.
RELATED LETTER
Perioral Burns After Adenotonsillectomy: A Potentially Serious Complication
Michael J. Nuara, Albert H. Park, Stephen C. Alder, Marshall E. Smith, Steve Kelly, and Harlan Muntz
Arch Otolaryngol Head Neck Surg. 2008;134(1):10-15.
ABSTRACT
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