American Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume 31, Issue 5 , Pages 356-359 , September 2010

Device-related risk of fire in oropharyngeal surgery: a mechanical model

  • Soham Roy, MD, FACS, FAAP

      Affiliations

    • Texas Ear Nose and Throat Consultants, Children's ENT of Houston, Houston, TX, USA
    • Division of Pediatric Otolaryngology, University of Texas at Houston, Houston, TX, USA
    • Corresponding Author InformationCorresponding author. Texas Ear Nose and Throat Consultants Children's ENT of Houston 6550 Fannin Street Suite 2001 Houston, Texas 77030. Tel.: +1 713 796 2001; fax: +1 713 796 2349.
    • ,
  • Lee P. Smith, MD

      Affiliations

    • Division of Otolaryngology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA

Received 17 November 2008

References 

  1. Niskanen M, Purhonen S, Koljonen V, et al. Fatal inhalation injury caused by airway fire during tracheostomy. Acta Anaesthesiol Scand. 2007;51:509–513
  2. Prasad R, Quezado Z, St Andre A, et al. Fires in the operating room and intensive care unit: awareness is the key to prevention. Anesth Analg. 2006;102:172–174
  3. Varcoe RL, MacGowan KM, Cass AJ. Airway fire during tracheostomy. ANZ J Surg. 2004;74:507–508
  4. Lin IH, Hwang CF, Kao YF, et al. Tracheostomal fire during an elective tracheostomy. Chang Gung Med J. 2005;28:186–190
  5. Mattucci KF, Militana CJ. The prevention of fire during oropharyngeal electrosurgery. Ear Nose Throat J. 2003;82:107–109
  6. Chang KW. Intracapsular versus subcapsular Coblation tonsillectomy. Otolaryngol Head Neck Surg. 2008;138:153–157
  7. Kaddoum RN, Chidiac EJ, Zestos MM, et al. Electrocautery-induced fire during adenotonsillectomy: report of two cases. J Clin Anesth. 2006;18:129–131
  8. Keller C, Elliott W, Hubbell RN. Endotracheal tube safety during electrodissection tonsillectomy. Arch Otolaryngol Head Neck Surg. 1992;118:643–645
  9. Macdonald MR, Wong A, Walker P, et al. Electrocautery-induced ignition of tonsillar packing. J Otolaryngol. 1994;23:426–429

☆ Drs Roy and Smith have served as consultants for ArthroCare Corporation (Sunnyvale, CA). ArthroCare provided funding for use of an independent laboratory (Exponent Engineering and Scientific Consulting, Menlo Park, CA) where the experiments took place. ArthroCare had no role in planning, conducting, or analyzing this study, its results, or this article submission.

☆☆ Funding source: ArthroCare Corporation (Sunnyvale, CA) provided funding for use of an independent laboratory and engineering team (Exponent Engineering and Scientific Consulting, Menlo Park, CA). ArthroCare had no role in planning, conducting, or analyzing this study, its results, or this presentation. Both authors have served as consultants for ArthroCare.

★ Presented as an oral presentation at the American Academy of Otolaryngology-Head and Neck Surgery, Chicago, IL, September 2008.

PII: S0196-0709(09)00119-7

doi: 10.1016/j.amjoto.2009.05.006

American Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume 31, Issue 5 , Pages 356-359 , September 2010

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