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Published in: European Archives of Oto-Rhino-Laryngology 6/2021

01-06-2021 | Tonsillectomy | Head and Neck

Comparison of three tonsillectomy techniques in children

Authors: Bugra Subasi, Fatih Oghan, Hamdi Tasli, Seckin Akbal, Nesibe Esra Karaman

Published in: European Archives of Oto-Rhino-Laryngology | Issue 6/2021

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Abstract

Purpose

Tonsillectomy is still one of the most common surgical procedures worldwide performed by otorhinolaryngologists. This single-blind randomized study aimed to compare cold dissection tonsillectomy, coblation tonsillectomy, and harmonic scalpel tonsillectomy in pediatric patients in respect of intraoperative blood loss, operating time, and postoperative pain and bleeding.

Methods

This single-blind randomized clinical trial evaluated 82 pediatric patients aged 3–16 years (mean age: 7.23 ± 3.26 years) applied with tonsillectomy between April 2017 and March 2020. Harmonic scalpel tonsillectomy was applied to 33 (40.2%) patients, the cold knife technique to 25 (30.5%), and coblation tonsillectomy to 24 (29.3%).

Results

There was no statistically significant difference between the three techniques in respect of postoperative pain levels and post-tonsillectomy bleeding rates. The intraoperative bleeding rate and mean operating time were determined to be significantly lower in the harmonic scalpel group (p < 0.05).

Conclusion

Harmonic scalpel tonsillectomy is associated with a shorter operating time and lower intraoperative bleeding rates and similar postoperative pain score and postoperative bleeding rates compared with coblation tonsillectomy and cold dissection tonsillectomy. Harmonic scalpel tonsillectomy is a fast, safe, and effective method for tonsillectomy in children.
Literature
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go back to reference Chimona T, Proimos E, Mamoulakis C, Tzanakakis M, Skoulakis CE, Papadakis CE (2008) Multiparametric comparison of cold knife tonsillectomy, radiofrequency excision and thermal welding tonsillectomy in children. Int J Otorhinolaryngol 72:1431–1436CrossRef Chimona T, Proimos E, Mamoulakis C, Tzanakakis M, Skoulakis CE, Papadakis CE (2008) Multiparametric comparison of cold knife tonsillectomy, radiofrequency excision and thermal welding tonsillectomy in children. Int J Otorhinolaryngol 72:1431–1436CrossRef
Metadata
Title
Comparison of three tonsillectomy techniques in children
Authors
Bugra Subasi
Fatih Oghan
Hamdi Tasli
Seckin Akbal
Nesibe Esra Karaman
Publication date
01-06-2021
Publisher
Springer Berlin Heidelberg
Keyword
Tonsillectomy
Published in
European Archives of Oto-Rhino-Laryngology / Issue 6/2021
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-020-06299-8

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