A Comparative Study of Conventional Tonsillectomy versus Coblation Tonsillectomy

Abstract

BACKGROUND: Coblation tonsillectomy is a new surgical technique .This study compares coblation and traditional tonsillectomy techniques in view of their advantages and complication. AIM OF THE STUDY: To compare and study the advantages of conventional (Dissection and snare method) Tonsillectomy Versus Coblation Tonsillectomy with regards to Intraoperative Time, Intraoperative blood Loss, Post-Operative Pain and early return to normalcy. METHODOLOGY: Intraoperative Time, Intraoperative Blood Loss and Post-Operative Pain (visual analogue score), duration of hospital stay and complication. RESULTS: Peroperative time consumption and intra operative bleeding were very minimal with coblation method than with the conventional method. Post operative pain using symptomatic and visual analogue score were equal with the coblation and conventional method of tonsillectomy, but the average post operative pain by visual analogue score was lesser in coblation method, Coblation method was found to be SUPERIOR to conventional method using systemic criteria based prospective analysis. CONCLUSION: Compare to our Study Coablation will be useful in Adenoidectomy, Resection of tumors of larynx, hypo pharynx, oral cavity and oropharynx, Creating a cavity in a malignant lesion, Turbinectomy, Cost effectiveness, surgical skills, steep learning curve and microscopical settings were three main disadvantages with the coblation method. Coblation technique demands further research to be proven as a suitable and standard method.