02 | 22 | 2008 Posted By Regan Zambri & Long

Unreported Mouth Burns During Tonsillectomy: New Study

Though unintentional and accidental burns to the mouth occasionally occur during tonsillectomy, relatively few are ever reported as medical errors, according to new research published in the Archives of Otolaryngology and Head and Neck Surgery.  Researchers report that some injuries have been so severe as to require reconstructive surgery.

Burns around the mouth during tonsillectomy are typically caused by electrocautery devices -- devices sometimes used as the primary instrument to remove the tonsils, and sometimes only to stop the bleeding following removal with a scalpel.  A number of other complications can also result from tonsillectomy, including severe bleeding, pain and voice changes.

In this latest study, researchers conducted a review of adolescents who sustained a perioral burn during a tonsillectomy at Primary Children's Medical Center (PCMC) in Salt Lake City, Utah, between 1997 and 2005.  Additionally, they conducted an online national survey of pediatric ear, nose, and throat doctors.  Of 4,327 tonsillectomies performed at the hospital, 7 sustained mouth burns, including 1 that required reconstructive surgery to repair.  Also, of the 298 surveys mailed to physicians, 101 were completed and returned.  Of those, 61 reported an incidence of burning around the mouth while performing a tonsillectomy, and roughly 10% of those were severe, necessitating additional burn treatment.  The most common cause of injury reported was a defective cautery device tip. 

Authors of the study advise that in light of the relative prevalence of this complication, specific measures should be taken prior to surgery to prevent perioral burns.  Additionally, they recommend that physicians consider adding a discussion of this potential complication to perioperative counseling in order to obtain full consent from the patient prior to conducting the surgery.

Previously on the DC Metro Area Medical Malpractice Law Blog, we have posted articles related to:

If you or a family member believe that you have a case involving an injury that occurred during surgery, please contact us on-line at Regan Zambri & Long or call us at 202-463-3030 for a free consultation.  If you would like to receive our complimentary electronic newsletter, please click here.