Comparative study between conventional dissection method versus bipolar cautery as a method of tonsillectomy

Authors

  • Meenu Chaudhary Department of ENT and HNS, Muzaffarnagar Medical College, Muzaffarnagar, Uttar Pradesh, India
  • Khyati Kushwaha Department of ENT and HNS, Muzaffarnagar Medical College, Muzaffarnagar, Uttar Pradesh, India
  • Sandip Parmar Department of ENT and HNS, Muzaffarnagar Medical College, Muzaffarnagar, Uttar Pradesh, India
  • Abhey Sood Department of ENT and HNS, Muzaffarnagar Medical College, Muzaffarnagar, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20220806

Keywords:

Chronic tonsillitis, Tonsillectomy, Conventional dissection method, Bipolar cautery method

Abstract

Background: Aim of the study was to compare the conventional dissection versus bipolar cautery as method of tonsillectomy.

Methods: This hospital based prospective study consists of total 50 patients with chronic tonsillitis who were 5-18 years of age. Each patient randomly underwent tonsillectomy using the conventional dissection on one side and bipolar cautery on the other side. The patients were followed up on 1st, 3rd, 7th, 14th and 30th post operative day. Statistical analysis was done using paired-t test.

Results: In this study maximum number of patients were found in the age group of 11-15 years. The study showed that males were affected more than the females. Duration of surgical technique was significantly more in Bipolar cautery method than that in conventional dissection method. Intra-operative blood loss was more in Conventional dissection method. Post-operative pain was assessed using VAS (Visual analogue scale) and was significantly more in Bipolar cautery method as compared to the dissection method. Slough formation was more in Bipolar cautery method than dissection method on Day 1st, 3rd, 7th, and similar on both sides on 14th post-operative day. There was no post-operative bleeding seen in any of the methods in this study.

Conclusions: Intra-operative blood loss was more in Conventional dissection method. Duration of surgery, post-operative pain and slough formation was more in Bipolar cautery method.

Author Biographies

Meenu Chaudhary, Department of ENT and HNS, Muzaffarnagar Medical College, Muzaffarnagar, Uttar Pradesh, India

Department of ENT & HNS 3rd year Postgraduate resident

Khyati Kushwaha, Department of ENT and HNS, Muzaffarnagar Medical College, Muzaffarnagar, Uttar Pradesh, India

Department of ENT & HNS, Senior resident

Sandip Parmar, Department of ENT and HNS, Muzaffarnagar Medical College, Muzaffarnagar, Uttar Pradesh, India

Department of ENT & HNS, Professor and Head

Abhey Sood, Department of ENT and HNS, Muzaffarnagar Medical College, Muzaffarnagar, Uttar Pradesh, India

Department of ENT & HNS, Professor

References

Derkay C, Harrow D, Welch C. Post-tonsillectomy morbidity and quality of life in paediatric patients with obstructive tonsils and adenoid: microdebrider vs electrocautery. Otolaryngol Head Neck Surg. 2006;134(1):114-20.

McAuliffe CJ. The history of tonsil and adenoid surgery. Otolaryngol Clin North Am. 1987;20:4:15-9.

Baily BJ. Tonsils and adenoids: snapshots from the laryngoscope scrapbook. Laryngoscope. 1997;107:301-6.

Kirazli T, Bilgen C, Midilli R, Ogüt F, Uyar M, Kedek A. Bipolar electrodissection tonsillectomy in children. Eur Arch Otorhinolaryngol. 2005;262(9):716-8.

Omrani M, Barati B, Omidifar N, Okhovvat AR, Hashemi SAG. Coblation versus traditional tonsillectomy: A double blind randomized controlled trial. J Res Med Sci. 2012;17(1):45-50.

Nunez DA, Provan J, Crawford M. Postoperative tonsillectomy pain in pediatricpatients: electrocautery (hot) vs cold dissection and snare tonsillectomy-a randomized trial. Arch Otolaryngol-Head Neck Surg. 2000;126(7):837-41.

Pang YT, El-Hakim H, Rothera MP. Bipolar diathermy tonsillectomy. Clin Otolaryngol Allied Sci. 1994;19 (4) :355-7.

Raut V, Bhat N, Kinsella J, Toner JG, Sinnathuray AR, Stevenson M. Bipolar scissors versuscold dissection tonsillectomy: a prospective, randomized, multi-unit study. laryngoscope. 2001;111(12):2178-82.

Mofatteh MR, Salehi F, Hosseini M, Hassanzadeh-Taheri M, Sharifzadeh G, Hassanzadeh-Taheri M. Comparison of postoperative morbidity between conventional cold dissection and bipolar electrocautery tonsillectomy: which technique is better? Braz J Otorhinolaryngol. 2020;86(4):427-33.

Beriat GK, Ezerarslan H, Ekmekçi P, Kocatürk S. The use of bipolar electrocautery tonsillectomy in patients with pediatric respiratory tract obstruction. J Clin Analytical Med. 2012;3(1):36-40.

Khan MA, Khan ZU, Akram S, Rafique U, Usman HB. Comparison of postoperative pain and hemorrhage in children after tonsillectomy with bipolar diathermy technique versus tonsillectomy with cold steel dissection and silk ligature. Pakistan Armed Forces Med J. 2015;65(6):739-42.

Moonka PK. Ligation vs. bipolar diathermy for haemostasis in tonsillectomy-a comparative study. Indian J Otolaryngol Head Neck Surg. 2002;54(1):35-8.

MacGregor FB, Albert DM, Bhattacharyya AK. Post-operative morbidity following paediatric tonsillectomy; a comparison of bipolar diathermy dissection and blunt dissection. Int J Pediatr Otorhinolaryngol. 1995;31(1):1-6.

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Published

2022-03-24

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Original Research Articles