ASSESSMENT OF PAIN AND BLEEDING IN THE FIRST POSTOPERATIVE DAY FOLLOWING COBLATION TONSILLECTOMY

Rafid Jabbar Almaidi

doi:10.33762/bsurg.2020.165490

Abstract

There are different techniques for tonsillectomy other than traditional such as; cold steel technique, bipolar diathermy, and nowadays the new plasma technology which is known as coblation (controlled ablation) tonsillectomy. This study aimed to assess the first 24 hours postoperative pain and bleeding after coblation tonsillectomy. Fifty patients aged between 4-10 years who underwent coblation tonsillectomy were included in this prospective descriptive study, the main indications for tonsillectomy were; recurrent tonsillitis and obstructive sleep apnoea. The results showed that no bleeding at all within the first 24 hours with significant reduction in feeling of pain after. In conclusion, coblation tonsillectomy is a promising technique to perform tonsillectomy.

Highlights

Fifty patients aged between 4-10 years who underwent coblation tonsillectomy were included in this prospective descriptive study, the main indications for tonsillectomy were; recurrent tonsillitis and obstructive sleep apnoea
The word coblation means controlled ablation; it utilizes a new plasma technology to create precise plasma field energy to ablate the soft tissue with significant low thermal destruction to the nearby soft tissue
There is no significant statistical difference observed between the average pain scale at 8 hours and after 16 hours postoperatively

Summary

Introduction

Fifty patients aged between 4-10 years who underwent coblation tonsillectomy were included in this prospective descriptive study, the main indications for tonsillectomy were; recurrent tonsillitis and obstructive sleep apnoea. The results showed that no bleeding at all within the first 24 hours with significant reduction in feeling of pain after. The main indications for tonsillectomy are; recurrent tonsillitis and obstructive sleep apnoea (OSA)[2]. Tonsillectomy is the most common surgical procedure in ENT practice; there are various techniques of surgical intervention such as laser tonsillectomy, harmonic scalpel, cryosurgical technique, cold steel technique, electrocautery and the new coblation technology. The word coblation means controlled ablation; it utilizes a new plasma technology to create precise plasma field energy to ablate the soft tissue with significant low thermal destruction to the nearby soft tissue. The coblation technology is used for adenoidectomy, inferior turbinate surgeries, laryngeal lesions, in addition to sinus and snoring procedures[3]

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