Innovative mucosal flaps for post-operative pain relief in endoscopic assisted tonsillectomy
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20223385Keywords:
Tonsillectomy, Postoperative pain, Mucosal flapsAbstract
Tonsillectomy the “bread and butter” surgery of the Otorhinolaryngologist has graduated from the Gullitone to the state of the art plasma knife technique, vis a vis patient and surgeon comfort. The excruciating post recovery pain is due to breach in the oro-phayngeal mucosa and thereby irritation of the terminal arborizations of the glossopharyngeal and vagal innervations. Moreover, the surgical trauma induced inflammation and spasm of the constrictor muscles leads to ischemia and a protracted cycle of pain. An endoscopic assisted bi -mucosal flap technique with precision and homeostasis is ideal as it covers the raw bed of the tonsil and there thereby reduces the intensity of the postoperative pain.
Metrics
References
Koempel JA. On the origin of tonsillectomy and the dissection method. The Laryngoscope. 2002;112(9):1583-6.
Silveira H, Soares JS, Lima HA. Tonsillectomy: cold dissection versus bipolar electro dissection. International journal of pediatric otorhinolaryngology. 2003;67(4):345-51.
Rakesh S, Anand TS, Payal G, Pranjal K. A prospective, randomized, double-blind study of coblation versus dissection tonsillectomy in adult patients. Indian Journal of Otolaryngology and Head and Neck Surgery. 2012;64(3):290-4.
Özkiriş M, Kapusuz Z, Saydam L. Comparison of three techniques in adult tonsillectomy. European Archives of Oto-Rhino-Laryngology. 2013;270(3):1143-7.
Dutta NN, Bordoloi BM. Tonsillectomy using harmonic scalpel. Indian Journal of Otolaryngology and Head and Neck Surgery. 2002;54(1):74-6.
Wexler DB. Recovery after tonsillectomy: electro dissection vs. sharp dissection techniques. Otolaryngology--Head and Neck Surgery. 1996;114(4):576-81.
Maddern BR. Electro surgery for tonsillectomy. The Laryngoscope. 2002;112(S100):11-3.
Timms MS, Temple RH. Coblation tonsillectomy: a double blind randomized controlled study. The journal of Laryngology and otology. 2002;116(6):450-2.
Hasan H, Raitiola H, Chrapek W, Pukander J. Randomized study comparing postoperative pain between coblation and bipolar scissor tonsillectomy. European archives of oto-rhino-laryngology. 2008;265(7):817-20.
Belloso A, Chidambaram A, Morar P, Timms MS. Coblation tonsillectomy versus dissection tonsillectomy: postoperative hemorrhage. The Laryngoscope. 2003;113(11):2010-3.
Kim JS, Kim BG, Kim DH, Hwang SH. Efficacy of pillar suture for post-tonsillectomy morbidity in children: a meta-analysis. Brazilian Journal of Otorhinolaryngology. 2021;87:583-90.
Linxweiler M, Kühn JP, Wagner M, Al Kadah B, Schick B. Reduction of post-operative pain after tonsillectomy by a local mucosal flap–a prospective, randomized, controlled clinical trial on 100 adult patients. Acta Oto-Laryngologica. 2018;138(10):913-20.
Genç E, Hancı D, Ergin NT, Dal T. Can mucosal sealing reduce tonsillectomy pain? International journal of pediatric otorhinolaryngology. 2006;70(4):725-30.
Akcan FA, Dündar Y. Posterior pillar mucosal suspension technique for post tonsillectomy pain and wound healing: a prospective, randomized, controlled trial. European Archives of Oto-Rhino-Laryngology. 2018;275(11):2879-87.
Huynh TM, Marret E, Bonnet F. Combination of dexamethasone and local anesthetic solution in peripheral nerve blocks: a meta-analysis of randomized controlled trials. European Journal of Anesthesiology| EJA. 2015;32(11):751-8.
Schnabel A, Reichl SU, Zahn PK, Pogatzki-Zahn EM, Meyer-Frießem CH. Efficacy and safety of buprenorphine in peripheral nerve blocks: a meta-analysis of randomized controlled trials. European Journal of Anesthesiology| EJA. 2017;34(9):576-86.
Gross CW, Gallagher R, Schlosser RJ, Burks SG, Flanagan HL, Mintz PD, et al. Autologous fibrin sealant reduces pain after tonsillectomy. The Laryngoscope. 2001;111(2):259-63.
Downloads
Published
How to Cite
Issue
Section
