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Nasal leech infestation in children: comparison of two different innovative techniques.
Int J Pediatr Otorhinolaryngol. 2009 Jun; 73(6):853-5.IJ

Abstract

OBJECTIVE

The objective of this study is to compare the results of two different techniques in removing nasal leech infestation.

MATERIAL AND METHODS

This prospective study was carried out in 40 patients attending Department of ENT and Head and Neck Surgery, TU Teaching Hospital, Kathmandu, with the history suggestive of nasal leech infestation. Patients enrolled between April 2004 and December 2008 were studied. Patients were arranged randomly into two groups. In the first group of patients, anterior rhinoscopy was done and suction was used to remove the leech from nasal cavity. While in second group, water was poured into the kidney tray and adjusted 1cm below the nasal vestibule. As soon as the leech was seen in the nasal vestibule coming towards the water, they were catched with artery forceps. Both groups were compared in the following items: time taken to remove the leech, bleeding status, pain assessment and patient's/caretaker's satisfaction. Unpaired t test was applied to compare the time taken in removing leeches in both groups.

RESULTS

In the first group of patients using suction, the mean duration of removal of leech was 18.25 min while in second group of patients, it was 30.25 min. Bleeding and pain was present in the first group of patients. All children were not satisfied with this technique in first group of patients. Around 70% of the patients wanted an easier option to remove the leech from nasal cavity.

CONCLUSION

Wait and watch policy (keeping the water in kidney tray just below the nasal vestibule) is a better technique because of less pain and less blood loss with full satisfaction to the patients and caretakers, though it is more time consuming.

Authors+Show Affiliations

Department of ENT and Head and Neck Surgery, TU Teaching Hospital, P.O. Box 4972, Maharagjung, Kathmandu, Nepal. prakash_ooz@hotmail.com

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

19395059

Citation

Adhikari, Prakash. "Nasal Leech Infestation in Children: Comparison of Two Different Innovative Techniques." International Journal of Pediatric Otorhinolaryngology, vol. 73, no. 6, 2009, pp. 853-5.
Adhikari P. Nasal leech infestation in children: comparison of two different innovative techniques. Int J Pediatr Otorhinolaryngol. 2009;73(6):853-5.
Adhikari, P. (2009). Nasal leech infestation in children: comparison of two different innovative techniques. International Journal of Pediatric Otorhinolaryngology, 73(6), 853-5. https://doi.org/10.1016/j.ijporl.2009.03.003
Adhikari P. Nasal Leech Infestation in Children: Comparison of Two Different Innovative Techniques. Int J Pediatr Otorhinolaryngol. 2009;73(6):853-5. PubMed PMID: 19395059.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Nasal leech infestation in children: comparison of two different innovative techniques. A1 - Adhikari,Prakash, Y1 - 2009/04/23/ PY - 2009/01/17/received PY - 2009/02/27/revised PY - 2009/03/02/accepted PY - 2009/4/28/entrez PY - 2009/4/28/pubmed PY - 2009/8/27/medline SP - 853 EP - 5 JF - International journal of pediatric otorhinolaryngology JO - Int. J. Pediatr. Otorhinolaryngol. VL - 73 IS - 6 N2 - OBJECTIVE: The objective of this study is to compare the results of two different techniques in removing nasal leech infestation. MATERIAL AND METHODS: This prospective study was carried out in 40 patients attending Department of ENT and Head and Neck Surgery, TU Teaching Hospital, Kathmandu, with the history suggestive of nasal leech infestation. Patients enrolled between April 2004 and December 2008 were studied. Patients were arranged randomly into two groups. In the first group of patients, anterior rhinoscopy was done and suction was used to remove the leech from nasal cavity. While in second group, water was poured into the kidney tray and adjusted 1cm below the nasal vestibule. As soon as the leech was seen in the nasal vestibule coming towards the water, they were catched with artery forceps. Both groups were compared in the following items: time taken to remove the leech, bleeding status, pain assessment and patient's/caretaker's satisfaction. Unpaired t test was applied to compare the time taken in removing leeches in both groups. RESULTS: In the first group of patients using suction, the mean duration of removal of leech was 18.25 min while in second group of patients, it was 30.25 min. Bleeding and pain was present in the first group of patients. All children were not satisfied with this technique in first group of patients. Around 70% of the patients wanted an easier option to remove the leech from nasal cavity. CONCLUSION: Wait and watch policy (keeping the water in kidney tray just below the nasal vestibule) is a better technique because of less pain and less blood loss with full satisfaction to the patients and caretakers, though it is more time consuming. SN - 1872-8464 UR - https://www.unboundmedicine.com/medline/citation/19395059/Nasal_leech_infestation_in_children:_comparison_of_two_different_innovative_techniques_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-5876(09)00127-X DB - PRIME DP - Unbound Medicine ER -