Coblation vs. dissection tonsillectomy: a prospective randomized study comparing surgical and clinical outcomes
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20190492Keywords:
Coblation, Tonsillectomy, Double blindAbstract
Background: The objective of this study is to compare operative time, intraoperative bleeding, postoperative pain between coblation and dissection tonsillectomy.
Methods: A total of 62 patients who met the inclusion criteria were divided into two groups according to the surgical procedure they went through. Surgical time intraoperative blood loss, postoperative pain, postoperative regaining of activity and any episode of postoperative bleeding were noted in both the groups and compared.
Results: Coblation tonsillectomy fared better than dissection tonsillectomy in terms of having less intraoperative blood loss, less postoperative pain. Patients who underwent coblation assisted tonsillectomy also had earlier return to normal activities. Though the time required for coblation tonsillectomy was more than dissection tonsillectomy there were no episodes of postoperative bleeding in subjects who underwent coblation tonsillectomy.
Conclusions: Coblation assisted tonsillectomy is a promising new technique for tonsillectomy as patients had less postoperative morbidity mainly pain. The surgical time required could be reduced further with experience.
References
Lowe D, van der Meulen J, Cromwell D, Lewsey J, Copley L, Browne J, Yung M, Brown P. Key messages from the national prospective tonsillectomy audit. Laryngoscope. 2007;117(4):717-24.
Curtin JM. The history of tonsil and adenoid surgery. Otolaryngol Clin N Am. 1987;20:415.
Windfuhr JP, Deck JC, Remmert S. Hemorrhage following coblation tonsillectomy. Ann Otol Rhinol Laryngol. 2005;114(10):749-56.
Lee KC, Bent III JP, Dolitsky JN, Hinchcliffe AM, Mansfield EL, White AK, Younis R. Surgical advances in tonsillectomy: report of a roundtable discussion. Ear, Nose Throat J. 2004;83(8).
Rakesh S, Anand TS, Payal G, Pranjal K. A prospective, randomized, double-blind study of coblation versus dissection tonsillectomy in adult patients. Indian J Otolaryngol Head Neck Surg. 2012;64(3):290-4.
Shangguan C, Wang S, Cai C, Hu Y.Effect of allergy on outcomes after endoscopic sinus surgery in patients with chronic rhinosinusitis. J Clin Otorhinolaryngol Head Neck Surg. 2009;23(8):359-63.
Nithya V, Dutta A, Sabarigirish K. A comparative study of coblation assissted adenotonsillectomy and cold dissection adenotonsillectomyin children. Int J Otorhinolaryngol Head Neck Surg. 2016;3(1):122-7.
Leong Tan AK, Hsu PP, Eng SP, Ng YH, Sun Lu PK, Tan SM, et al. Coblation vs electrocautery tonsillectomy: postoperative recovery in adults. Otolaryngol Head Neck Surg. 2006;135(5):699- 703.
Polites N, Joniau S, Wabnitz D, Fassina R, Smythe C, Varley P, Carney AS. Postoperative pain following coblation tonsillectomy: randomized clinical trial. ANZ journal of surgery. 2006;76(4):226-9.
Belloso A, Chidambaram A, Morar P, Timms MS. Coblation tonsillectomy versus dissection tonsillectomy: postoperative hemorrhage. The Laryngoscope. 2003;113(11):2010-3.
