Document Type : Original Article
Authors
1 Department of Dentistry, Alkunooze University College, Basrah, Iraq
2 Professor otolaryngology, Department of Surgery, College of Medicine, University of Basrah, Basrah, Iraq
3 Alshifaa General Hospital, Basrah Health Directorate, Ministry of Health/ Environment, Basrah, Iraq1
Abstract
Background:
Coblation tonsillectomy is a relatively recently introduced surgical technique which attempts to bridge the gap between hot and cold tonsillectomy methods.
Objectives:
• To assess the effect of Coblation tonsillectomy on the amount of blood loss intra operatively.
• To evaluate the effect of Coblation tonsillectomy on the level of postoperative pain in comparison with cold steel method.
• To study the effect of Coblation on the incidence of post tonsillectomy hemorrhage.
• To evaluate the effect of Coblation tonsillectomy on the time taken for the dissection and on the healing process in compared with cold steel method.
Patients and methods:
A prospective randomized single blind controlled trial, the study carried out at Basrah Teaching Hospital between October 2020 and March 2021, which include 44 patients (24 female and 20 male) with female to male ratio is (1.2 :1). We include patients with history of recurrent tonsillitis age from (6-35) years and exclude those patients with blood dyscrasia, diabetes, hypertension, current steroid use, quinsy, heart disease and tonsillar hypertrophy due to neoplastic process.
Patients were randomly assigned to have one side of the tonsils to be removed by Coblation and the second by cold steel dissection.
Results:
Coblation was significantly faster to perform than cold steel dissection and produced significantly less intra-operative blood loss (p value <0.01). Subjective visual analogue scale analysis showed significant pain score difference on day0 between Coblation and dissection (p value <0.01) in favor of Coblation, while there is no significant difference in pain on day3,7,10-14. Also, the study showed that no significant difference in the healing process between the two side
Conclusion:
It is found that Coblation tonsillectomy is a safe procedure and does have superiority in improving intraoperative efficacy in term of intraoperative time and bleeding compared to cold dissection tonsillectomy.
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