Coblation versus bipolar electrocautery tonsillectomy: a comparative study in children

Authors

  • G. Abhinav Kiran Department of Otorhinolaryngology, Mallareddy Institute of Medical Sciences, Suraram, Hyderabad, India
  • Y. Prabhakara Rao Department of Otorhinolaryngology, Mallareddy Institute of Medical Sciences, Suraram, Hyderabad, India
  • B. Shanthi Priyanka Department of Otorhinolaryngology, Mallareddy Institute of Medical Sciences, Suraram, Hyderabad, India
  • Supreety . Department of Otorhinolaryngology, Mallareddy Institute of Medical Sciences, Suraram, Hyderabad, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20213284

Keywords:

Coblation, Bipolar electrocautery, Tonsillectomy

Abstract

Background: Tonsillectomy is a commonly done surgery by ENT surgeons all over the world. There are many surgical techniques to do this surgery. This study is aimed to compare intraoperative efficiency and postoperative recovery between coblation and bipolar electrocautery tonsillectomy.

Methods: This prospective study was carried out on 60 patients that underwent tonsillectomy over 2 years from February 2019 to January 2021 in Mallareddy Institute of Medical Sciences, Suraram, Hyderabad. The patients were equally divided into two groups; coblation tonsillectomy (30 patients) and bipolar electrocautery tonsillectomy (30 patients). Their age ranged between 4-15 years. The operative time and intraoperative blood loss were recorded for each patient and compared. The parents were given a pain diary to record the level of pain each morning for ten days. Also, they were asked to report any complication like bleeding.

Results: There was no statistically significant difference in the mean operation time and intra operative blood loss between the coblation group and bipolar electrocautery group There was a statistically significant difference in the daily pain scores between the two groups in which the coblation group was associated with lower mean pain score. 1 episode of secondary hemorrhage was recorded in bipolar electrocautery tonsillectomy.

Conclusions: Bipolar electrocautery tonsillectomy offers the same operative speed, similar intraoperative blood loss, more postoperative pain scores when compared with coblation tonsillectomy.

Author Biography

G. Abhinav Kiran, Department of Otorhinolaryngology, Mallareddy Institute of Medical Sciences, Suraram, Hyderabad, India

third year post graduate, MS ENT

References

Özler GS, Tatar EC. Comparing traditional cold knife tonsillectomy with a new technique plasma knife tonsillectomy. Turk Arch Otolaryngology. 2013;51:114-7.

Businco LDR, Tirelli GC. Pediatric tonsillectomy: Radiofrequency-based plasma dissection compared to cold dissection with sutures. Available at: http://www.businco.it/studio. Accessed on 19th January, 2011.

Shah SA, Ghani R. Evaluation of safety of bipolar diathermy tonsillectomy. J Ayub Med Coll Abbottabad. 2007;19(4):94-7.

Oko MO, Ganly I, Loughran S, Clement WA, Young D, Geddes NK. A prospective randomized single-blind trial comparing ultrasonic scalpel tonsillectomy with tonsillectomy by blunt dissection in a pediatric age group. Otolaryngol Head Neck Surg. 2005;133(4):579-84.

Burton MJ, Doree C. Coblation versus other surgical techniques for tonsillectomy. Cochrane Database Syst Rev. 2007;(3):CD004619.

Polites N, Joniau S, Wabnitz D, Fassina R, Smythe C. Postoperative pain following coblation tonsillectomy: randomized clinical trial. ANZ J Surg. 2006;76(4):226-9.

Back L, Paloheimo M, Ylikoski J. Traditional tonsillectomy compared with bipolar radiofrequency thermal ablation tonsillectomy in adults. Arch Otolaryngol Head Neck Surg. 2001;127(9):1106-10.

Roje Z, Racic G, Dogas Z, PisacVP, Timms M. Postoperative morbidity and histopathologic characteristics of tonsillar tissue following coblation tonsillectomy in children: A prospective randomized single-blind study, Coll Antropol. 2009;33(1):293-8.

Mitic S, Tvinnereim M, Lie E, Saltyte BL. A pilot randomized controlled trial of coblation tonsillectomy versus dissection tonsillectomy with bipolar diathermy haemostasis. Clin Otolaryngol. 2007;32:261-7.

Philpott CM, Wild DC, Mehta D, Daniel M, Banerjee AR. A double-blinded randomized controlled trial of coblation versus conventional dissection tonsillectomy on postoperative symptoms. Clin Otolaryngol. 2005;30:143-8.

Parker D, Howe L, Unsworth V, Hilliam R. A randomised controlled trial to compare postoperative pain in children undergoing tonsillectomy using cold steel dissection with bipolar haemostasis versus coblation technique. Clin Otolaryngol. 2009;34:225-31.

Xuanqian X, Nandini D. Comparison of coblation tonsillectomy and electrocautery tonsillectomy inpediatric patients. Technology Assessment Unit of the McGill University Health Centre. 2008;7(34):47-53.

Matin MA. Coblation tonsillectomy versus blunt dissection tonsillectomy. The ORION Medical J. 2006;23:330-1.

Belloso A, Chidambaram A, Morar P, Timms MS. Coblation tonsillectomy versus dissection tonsillectomy: Postoperative hemorrhage. Laryngoscope. 2003;113:2010-3.

Javed F, Sadri M, Uddin J, Mortimore S, Parker D. A completed audit cycle on post-tonsillectomy haemorrhage rate: Coblation versus standard tonsillectomy. Acta Otolaryngol. 2007;127(3):300-4.

Shapiro NL, Bhattacharyya N. Cold dissection versus coblation-assisted adenotonsillectomy in children. Laryngoscope. 2007;117:406-10.

Isaacson G. Tonsillectomy healing. Ann Otol Rhinol Laryngol. 2012;121(10):645-9.

Hemin Ibrahim Saeed, Abdulkhaliq Emin, Moyaser A. Yaseen, Ammar M. Sale A comparative study between coblation and bipolar electrocautery tonsillectomy in children. Zanco J Med. Sci. 2019;23(1):3:91-95

Fawzy AH, Hussien A, Hussein A, Ashour B. Coblation versus Bipolar Diathermy for Adult Tonsillectomy. Med J Cairo Uni. 2012;80(1):491-4.

Hong SM, Cho JG, Chae SW, Lee HM, Woo JS. Coblation VS. Electrocautery Tonsillectomy: A Prospective Randomized Study Comparing Clinical Outcomes in Adolescents and Adults. Clinical and Experimental Otorhinolaryngol. 2013;6(2):90-3.

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Published

2021-08-23

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Original Research Articles