Abstract
Abstract
Objective
To compare the intraoperative records and postoperative clinical outcomes of adults who underwent coblation and modified monopolar tonsillectomy tonsillectomies.
Materials and methods
Adult patients with tonsillectomy were randomly divided into the coblation and modified monopolar tonsillectomy groups. The estimated blood loss, postoperative pain score, operation time, post-tonsillectomy hemorrhage (PTH), and cost of disposable equipment were compared.
Results
Pain intensity in the coblation and monopolar groups was similar on postoperative days 3 and 7. However, the mean maximum pain score in the monopolar group was significantly higher compared to the coblation group on postoperative days 1 (P < 0.01) and 2 (P < 0.05).Secondary PTH occurred in 7.1% (23/326) of patients in the coblation group and 2.8% (9/327) of patients in the monopolar group (P < 0.05).
Conclusion
Although pain was significantly increased on postoperative days 1 and 2 in the modified monopolar tonsillectomy group, the operation time, secondary PTH, and medical costs were significantly decreased compared to the coblation technique group.
Funder
This study was supported by Technology Agency of Yiwu city, China.
Publisher
Springer Science and Business Media LLC
Reference29 articles.
1. Wiltshire D, Cronin M, Lintern N, et al. The debate continues: a prospective, randomised, single-blind study comparing Coblation and bipolar tonsillectomy techniques. J Laryngol Otol. 2018;132:240–5.
2. Pynnonen M, Brinkmeier JV, Thorne MC, Chong LY, Burton MJ. Coblation versus other surgical techniques for tonsillectomy. Cochrane Database Syst Rev. 2017;8:CD004619.
3. Meiklejohn DA, Chavarri VM. Cold technique in adult tonsillectomy reduces waste and cost. Ear Nose Throat J. 2021;100:427S–30. https://doi.org/10.1177/0145561319882779.
4. McCoy JL, Maguire RC, Tobey ABJ. Cost benefit of coblation versus electrocautery adenotonsillectomy for pediatric patients. Int J Pediatr Otorhinolaryngol. 2020;136:110197. https://doi.org/10.1016/j.ijporl.2020.110197.
5. Walker P, Gillies D. Post-tonsillectomy hemorrhage rates: are they technique-dependent? Otolaryngol Head Neck Surg. 2007;136:S27–S31.