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Comparison of post-tonsillectomy morbidity operated with Cold Knife and Coblation in patients with Sleep Apnea

Yıl 2018, Cilt: 8 Sayı: 3, 155 - 160, 18.12.2018
https://doi.org/10.32448/entupdates.499040

Öz









Objective:
To compare post-tonsillectomy morbidity between the Snare and
Coblation methods in patients with sleep apnea.




Method:
The study is performed in 49 cases. Twentyone patients who were
operated by Snare method while the other 28 patients underwent
coblation tonsillectomy. The amount of intraoperative bleeding has
been recorded.
The
pain levels at the postoperative hours 6th and 12th.; on the
postoperative days of 1, 3, 7 the patients were assessed through VAS
and Wong-Baker-Faces-Pain-Rating-Scale (WBFPRS) and were compared
between two groups. The Tonsillar-Fossa-Wound-Healing-Score (TFWHS)
assessment was carried out for the wound healing rate on the
postoperative days of 1, 3, 5, 7 and 10.




Results:
The patients who underwent coblation had significantly lower amounts
of bleeding compared to the snare method (p=0.046). The patients who
were assessed within the scope of this study and underwent
tonsillectomy with snare method had significantly higher 6th hour VAS
and WBFPRS scores (p=0.011, p=0.005); whereas 12th hour, days of 1,
2, 3 and 7 VAS and WBFPRS scores were similar. TFWHSs of the studied
patients who underwent coblation were significantly higher on the
days of 1 and 3 (p=0.007; p=0.008) but these scores were similar on
days of 5, 7, and 10.




Conclusion:
The
study has showed that the amount of intraoperative bleeding of the
cases underwent coblation is significantly lower. The lower early
period postoperative pain resulting in earlier oral intake and better
recovery scores for the tonsillary fossa seems to be the advantages
of the coblation as opposed to the snare method.




Kaynakça

  • 1. Curtin JM. The history of tonsil and adenoid surgery. Otolaryngol Clin North Am 1987;20:415-419.
  • 2. Wiatrak BJ, Wooley AL. Pharyngitis and adenotonsillar disease. In: Cummings CW, Fredrickson JM, Schuller DE, eds. Otolaryngology Head and Neck Surgery, ed 3 Mosby; 1998. p. 188-215.
  • 3. Younis RT, Lazar RH. History and current practice of tonsillectomy. Laryngoscope 2002;112:3-5.
  • 4. Clenney T, Schroeder A, Bondy P, Zizak V, Mitchell A. Postoperative pain after adult tonsillectomy with PlasmaKnife compared to monopolar electrocautery. Laryngoscope. 2011;121(7):1416-21.
  • 5. Chang KW. Randomized controlled trial of coblation versus electrocautery tonsillectomy. Otolaryngol Head Neck Surg 2005;132:273-80
  • 6. Chinpairoj S, Feldman MD, Saunders JC, et al. A comparison of monopolar electrosurgery to a new multipolar electrosurgical system in a rat model. Laryngoscope 2001;111:213-7.
  • 7. Brodsky L. Tonsillitis, tonsillectomy and adenoidectomy. In: Bailey BJ., ed. Head and Neck Surgery-Otolaryngology, Philadelphia: Lippincott; 1993: 833-47.
  • 8. Magdy EA, Elwany S, el-Daly AS, Abdel-Hadi M, Morshedy MA. Coblation tonsillectomy: a prospective, double-blind, randomised, clinical and histopathological comparison with dissection–ligation, monopolar electrocautery and laser tonsillectomies. J Laryngol Otol 2008;122: 282–290.
  • 9. Lowe D, van der Meulen J. Tonsillectomy technique as a risk factor for postoperative haemorrhage. Lancet 2004;364:697-702.
  • 10. Lee KC, Altenau MM, Barnes DR, et al. Incidence of complications for subtotal ionized field ablation of the tonsils. Otolaryngol HeadNeckSurg 2002;127:531-8.
  • 11. Belloso A, Chidambaram A, Morar P, et al. Coblation tonsillectomy versus dissection tonsillectomy: postoperative hemorrhage. Laryngoscope 2003;113:2010-3.
  • 12. Polites N, Joniau S, Wabnitz D, Fassina R, Smythe C, Varley P, Carney AS. Postoperative pain following coblation tonsillectomy: randomized clinical trial. ANZ J Surg. 2006;76(4):226-9.
  • 13. Timms MS, Temple RH. Coblation tonsillectomy: a double blind randomized controlledstudy. J Laryngol Otol. 2002; 116: 450-452.
  • 14. Stoker KE, Don DM, Kang DR, Haupert MS, Magit A, Madgy DN. Pediatric total tonsillectomy using coblation compared to conventional electrosurgery: a prospective, controlled single-blind study. Otolaryngol HeadNeckSurg. 2004;130(6):666-75.
  • 15. Friedman M, LoSavio P, Ibrahim H, et al. Radiofrequency tonsil reduction: safety, morbidity, and efficacy. Laryngoscope 2003; 113:882-7
  • 16. Back L, Paloheimo M, Ylikoski J. Traditional tonsillectomy compared with bipolar radiofrequency thermal ablation tonsillectomy in adults. Arch Otolaryngol HeadNeckSurg 2001;127: 1106-12.
  • 17. Chinpairoj S, Feldman MD, Saunders JC, Thaler ER. Laryngoscope. A comparison of monopolar electrosurgery to a new multipolar electrosurgical system in a rat model. 2001;111(2):213-7.
  • 18. Lowe D, van der Meulen J, Cromwell D, Lewsey J, Copley L, Browne J, Yung M, Brown P. Key messages from the National Prospective Tonsillectomy Audit. Laryngoscope. 2007;117(4):717-24.
Yıl 2018, Cilt: 8 Sayı: 3, 155 - 160, 18.12.2018
https://doi.org/10.32448/entupdates.499040

Öz

Kaynakça

  • 1. Curtin JM. The history of tonsil and adenoid surgery. Otolaryngol Clin North Am 1987;20:415-419.
  • 2. Wiatrak BJ, Wooley AL. Pharyngitis and adenotonsillar disease. In: Cummings CW, Fredrickson JM, Schuller DE, eds. Otolaryngology Head and Neck Surgery, ed 3 Mosby; 1998. p. 188-215.
  • 3. Younis RT, Lazar RH. History and current practice of tonsillectomy. Laryngoscope 2002;112:3-5.
  • 4. Clenney T, Schroeder A, Bondy P, Zizak V, Mitchell A. Postoperative pain after adult tonsillectomy with PlasmaKnife compared to monopolar electrocautery. Laryngoscope. 2011;121(7):1416-21.
  • 5. Chang KW. Randomized controlled trial of coblation versus electrocautery tonsillectomy. Otolaryngol Head Neck Surg 2005;132:273-80
  • 6. Chinpairoj S, Feldman MD, Saunders JC, et al. A comparison of monopolar electrosurgery to a new multipolar electrosurgical system in a rat model. Laryngoscope 2001;111:213-7.
  • 7. Brodsky L. Tonsillitis, tonsillectomy and adenoidectomy. In: Bailey BJ., ed. Head and Neck Surgery-Otolaryngology, Philadelphia: Lippincott; 1993: 833-47.
  • 8. Magdy EA, Elwany S, el-Daly AS, Abdel-Hadi M, Morshedy MA. Coblation tonsillectomy: a prospective, double-blind, randomised, clinical and histopathological comparison with dissection–ligation, monopolar electrocautery and laser tonsillectomies. J Laryngol Otol 2008;122: 282–290.
  • 9. Lowe D, van der Meulen J. Tonsillectomy technique as a risk factor for postoperative haemorrhage. Lancet 2004;364:697-702.
  • 10. Lee KC, Altenau MM, Barnes DR, et al. Incidence of complications for subtotal ionized field ablation of the tonsils. Otolaryngol HeadNeckSurg 2002;127:531-8.
  • 11. Belloso A, Chidambaram A, Morar P, et al. Coblation tonsillectomy versus dissection tonsillectomy: postoperative hemorrhage. Laryngoscope 2003;113:2010-3.
  • 12. Polites N, Joniau S, Wabnitz D, Fassina R, Smythe C, Varley P, Carney AS. Postoperative pain following coblation tonsillectomy: randomized clinical trial. ANZ J Surg. 2006;76(4):226-9.
  • 13. Timms MS, Temple RH. Coblation tonsillectomy: a double blind randomized controlledstudy. J Laryngol Otol. 2002; 116: 450-452.
  • 14. Stoker KE, Don DM, Kang DR, Haupert MS, Magit A, Madgy DN. Pediatric total tonsillectomy using coblation compared to conventional electrosurgery: a prospective, controlled single-blind study. Otolaryngol HeadNeckSurg. 2004;130(6):666-75.
  • 15. Friedman M, LoSavio P, Ibrahim H, et al. Radiofrequency tonsil reduction: safety, morbidity, and efficacy. Laryngoscope 2003; 113:882-7
  • 16. Back L, Paloheimo M, Ylikoski J. Traditional tonsillectomy compared with bipolar radiofrequency thermal ablation tonsillectomy in adults. Arch Otolaryngol HeadNeckSurg 2001;127: 1106-12.
  • 17. Chinpairoj S, Feldman MD, Saunders JC, Thaler ER. Laryngoscope. A comparison of monopolar electrosurgery to a new multipolar electrosurgical system in a rat model. 2001;111(2):213-7.
  • 18. Lowe D, van der Meulen J, Cromwell D, Lewsey J, Copley L, Browne J, Yung M, Brown P. Key messages from the National Prospective Tonsillectomy Audit. Laryngoscope. 2007;117(4):717-24.
Toplam 18 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Fatih Oghan

Ali Guvey Bu kişi benim

Onder Aydemir Bu kişi benim

Onur Erdogan

Muhammet Fatih Topuz

Metin Celiker

Suat Terzi Bu kişi benim

Seckin Akbal Bu kişi benim

Yayımlanma Tarihi 18 Aralık 2018
Gönderilme Tarihi 24 Ağustos 2018
Kabul Tarihi 2 Kasım 2018
Yayımlandığı Sayı Yıl 2018 Cilt: 8 Sayı: 3

Kaynak Göster

APA Oghan, F., Guvey, A., Aydemir, O., Erdogan, O., vd. (2018). Comparison of post-tonsillectomy morbidity operated with Cold Knife and Coblation in patients with Sleep Apnea. ENT Updates, 8(3), 155-160. https://doi.org/10.32448/entupdates.499040
AMA Oghan F, Guvey A, Aydemir O, Erdogan O, Topuz MF, Celiker M, Terzi S, Akbal S. Comparison of post-tonsillectomy morbidity operated with Cold Knife and Coblation in patients with Sleep Apnea. ENT Updates. Aralık 2018;8(3):155-160. doi:10.32448/entupdates.499040
Chicago Oghan, Fatih, Ali Guvey, Onder Aydemir, Onur Erdogan, Muhammet Fatih Topuz, Metin Celiker, Suat Terzi, ve Seckin Akbal. “Comparison of Post-Tonsillectomy Morbidity Operated With Cold Knife and Coblation in Patients With Sleep Apnea”. ENT Updates 8, sy. 3 (Aralık 2018): 155-60. https://doi.org/10.32448/entupdates.499040.
EndNote Oghan F, Guvey A, Aydemir O, Erdogan O, Topuz MF, Celiker M, Terzi S, Akbal S (01 Aralık 2018) Comparison of post-tonsillectomy morbidity operated with Cold Knife and Coblation in patients with Sleep Apnea. ENT Updates 8 3 155–160.
IEEE F. Oghan, “Comparison of post-tonsillectomy morbidity operated with Cold Knife and Coblation in patients with Sleep Apnea”, ENT Updates, c. 8, sy. 3, ss. 155–160, 2018, doi: 10.32448/entupdates.499040.
ISNAD Oghan, Fatih vd. “Comparison of Post-Tonsillectomy Morbidity Operated With Cold Knife and Coblation in Patients With Sleep Apnea”. ENT Updates 8/3 (Aralık 2018), 155-160. https://doi.org/10.32448/entupdates.499040.
JAMA Oghan F, Guvey A, Aydemir O, Erdogan O, Topuz MF, Celiker M, Terzi S, Akbal S. Comparison of post-tonsillectomy morbidity operated with Cold Knife and Coblation in patients with Sleep Apnea. ENT Updates. 2018;8:155–160.
MLA Oghan, Fatih vd. “Comparison of Post-Tonsillectomy Morbidity Operated With Cold Knife and Coblation in Patients With Sleep Apnea”. ENT Updates, c. 8, sy. 3, 2018, ss. 155-60, doi:10.32448/entupdates.499040.
Vancouver Oghan F, Guvey A, Aydemir O, Erdogan O, Topuz MF, Celiker M, Terzi S, Akbal S. Comparison of post-tonsillectomy morbidity operated with Cold Knife and Coblation in patients with Sleep Apnea. ENT Updates. 2018;8(3):155-60.