Acta Scientific Otolaryngology (ASOL)

Research Article Volume 2 Issue 5

Coblation Versus Conventional Tonsillectomy: Our Institutional Experience

Dipesh G Darji1*, Vaishali A Patel2*, Sourav Banerjee2, Devyanshu Sharma3 and Vaidik Chauhan2

1Assistant Professor, Department of ENT, B.J. Medical College, Civil Hospital, Ahmedabad, Gujarat, India
2Second Year Resident, Department of ENT, B.J. Medical College, Civil Hospital, Ahmedabad, Gujarat, India
3First Year Resident, Department of ENT, B.J. Medical College, Civil Hospital, Ahmedabad, Gujarat, India

*Corresponding Author: Vaishali A Patel, Second Year Resident, Department of ENT, B.J. Medical College, Civil Hospital, Ahmedabad, Gujarat, India.

Received: March 09, 2020; Published: April 30, 2020

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Abstract

Introduction: Tonsillectomy is a very common operation and is performed using various surgical methods. Coblation is a popular method because it causes less pain than other surgical methods. However, the superiority of coblation is unproven.

Objective: To compare the effect of coblation Tonsillectomy for chronic tonsillitis or Tonsillar hypertrophy with conventional method of Tonsillectomy on intraoperative morbidity; postoperative morbidity and Procedural cost.

Methods: It is Prospective double blinded randomized controlled trial done at civil hospital Ahmedabad for period of 1st November 2018 to 1st November 2019 on operation time, intraoperative blood loss, postoperative pain, time needed to regain the normal diet and activity and postoperative hemorrhage were gathered and compared between two groups containing 27 patients in each group. Method of surgery depends on parents or patients choice.

Result: We found there is significant difference in intraoperative time in Coblation tonsillectomy compared to Conventional; method of tonsillectomy with mean operation time, Intra operative blood loss, post-operative pain, average time taken to return to normal diet and activity

Conclusion: Coblation tonsillectomy significantly reduces operation time, intra operative blood loss, Post-operative blood loss, Post-operative pain and patient returns to regular routine but with higher cost.

Keywords: Palatine Tonsils; Coblation Tonsillectomy; Conventional Tonsillectomy; Post-Operative Time; Post-Operative Blood Loss

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References

  1. Lowe D., et al. “Key messages from the National Prospective Tonsillectomy Audit”. Laryngoscope4 (2007): 717-724.
  2. Burton MJ and Doree C. “Coblation versus other surgical techniques for tonsillectomy”. Cochrane Database of Systematic Reviews 3 (2017): CD004619.
  3. Mitchell Ron B., et al. "Clinical Practice Guideline: Tonsillectomy in Children (Update)". Otolaryngology-Head and Neck Surgery 1 (2019): S1-S42.
  4. Pinder DK., et al. “Dissection versus diathermy for tonsillectomy”. Cochrane Database of Systematic Reviews 3 (2011): CD002211.
  5. Temple RH and Timms MS. “Paediatric coblation tonsillectomy”. International Journal of Pediatric Otorhinolaryngology 3 (2001): 195-198.
  6. "COBLATION Plasma Technology - ENT". Smith and Nephew US Professional (2016).
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  9. Myatt HM and Myatt RA. “The Development of a Pediatric Quality of Life Questionnaire to Measure Post-operative Pain Following Tonsillectomy”. International Journal of Pediatric Otorhinolaryngology2 (1998): 115-123.
  10. Siodlak MZ., et al. “Post-tonsillectomy secondary haemorrhage”. Annals of the Royal College of Surgeons of England 3 (1985): 167-168.
  11. Tami TA., et al. “Post-tonsillectomy bleeding: an evaluation of risk factors”. Laryngoscope 11 (1987): 1307-1311.
  12. Capper JW and Randall C. “Post-operative haemorrhage in tonsillectomy and adenoidectomy in children”. Journal of Laryngology and Otology 4 (1984): 363-365.
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Citation

Citation: Vaishali A Patel., et al. “Coblation Versus Conventional Tonsillectomy: Our Institutional Experience". Acta Scientific Otolaryngology 2.5 (2020): 25-28.




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Acceptance rate34%
Acceptance to publication20-30 days

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