Tonsillar hypertrophy in children
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Background: Tonsillectomy is one of the most commonly performed surgical operations in children in the recent years. It is mainly done for chronic tonsillitis and obstructive symptoms. Aims & Objectives: To compare activity in coblation and dissection cold tonsillectomy. Methods: This is a prospective study done at UMBAL Burgas for a period of one and a half years from March 2019 to September 2020. Out of the 54 patients, 28 underwent coblation tonsillectomy and 24 underwent conventional dissection tonsillectomy. Results: However, average time taken to return to normal activity among coblation was 6.8 days and dissection was 7.6 days. Conclusion: Coblation tonsillectomy significantly reduces the operation time, intraoperative blood loss, immediate postoperative pain, and patient returns early to regular routine, but with a higher cost.
Tonsillectomy, cold dissection, coblation, indication
Короткий адрес: https://sciup.org/140288907
IDR: 140288907 | DOI: 10.46566/2500-4050_2022_65_3
Список литературы Tonsillar hypertrophy in children
- Dhaduk, N.; Rodgers, A.; Govindan, A.; Kalyoussef, E. Post-Tonsillectomy Bleeding: A National Perspective. Ann. Otol. Rhinol. Laryngol.; 2021; 130, pp. 941-947.
- Baldassari, C.M.; Lam, D.J.; Ishman, S.L.; Chernobilsky, B.; Friedman, N.R.; Giordano, T.; Lawlor, C.; Mitchell, R.B.; Nardone, H.; Ruda, J. et al. Expert Consensus Statement: Pediatric Drug-Induced Sleep Endoscopy. Otolaryngol. Head Neck Surg.; 2021; 194599820985000.
- Yilmazer, R.; Yazici, Z.M.; Balta, M.; Erdim, I.; Erdur, O.; Kayhan, F.T. PlasmaBlade vs. Cold Dissection Tonsillectomy: A Prospective, Randomized, Double-Blind, Controlled Study in Adults. Ear Nose Throat J.; 2017; 96, pp. 250-256.
- McCoy, J.L.; Maguire, R.C.; Tobey, A.B.J. Cost benefit of coblation versus electrocautery adenotonsillectomy for pediatric pa-tients.Int. J. Pediatric Otorhinolaryngol.; 2020; 136, 110197.
- Hamilton, T.B.; Thung, A.; Tobias, J.D.; Jatana, K.R.; Raman, V.T. Adenotonsillectomy and postoperative respiratory adverse events: A retrospective study. Laryngoscope; 2020; 5, pp. 168-174.
- Meiklejohn, D.A.; Chavarri, V.M. Cold Technique in Adult Tonsillectomy Reduces Waste and Cost. Ear Nose Throat J.; 2021; 100, pp. 427S-430S.
- Chen, A.; Chen, M.-K.Comparison of Post-Tonsillectomy Hemorrhage between Monopolar and Plasma Blade Techniques. J. Clin. Med.; 2021; 10, 2051.
- Sagheer, S.H.; Kolb, C.M.; Crippen, M.M.; Tawfik, A.; Vandjelovic, N.D.; Nardone, H.C.; Schmidt, R.J. Predictive Pediatric Characteristics for Revision Tonsillectomy After Intracapsular Tonsillectomy. Otolaryngol. Head Neck Surg. Pierce, B.; Brietzke, S. Association of Preoperative, Subjective Pediatric Tonsil Size with Tonsillectomy Outcomes: A Systematic Review. JAMA Otolaryngol. Head Neck Surg.; 2019; 145, pp. 854-859.
- Dwyer-Hemmings, L. ‘A Wicked Operation’? Tonsillectomy in Twentieth Century Britain. Med. Hist.; 2018; 62, pp. 217-241.
- Mitchell, R.B.; Archer, S.M.; Ishman, S.L.; Rosenfeld, R.M.; Coles, S.; Finestone, S.A.; Friedman, N.R.; Giordano, T.; Hildrew, D.M.; Kim, T.W. et al. Clinical Practice Guideline: Tonsillectomy in Children (Update). Otolaryngol. Head Neck Surg.; 2019; 160, pp. S1-S42.