Intracapsular coblation tonsillotomy versus extracapsular coblation tonsillectomy

Aida A Abdelmaksoud,Usama K Tayee,Ahmed G Abdelreheem

doi:10.1186/s43163-021-00071-3

Aida A Abdelmaksoud, Usama K Tayee + Show 1 more

Open Access

https://doi.org/10.1186/s43163-021-00071-3

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Abstract

BackgroundRecently, coblation technique is used in many neck surgeries; there are few studies dealing with coblation in the field of tonsillectomy either intracapsular or extracapsular tonsillectomy. The aim of this study is to evaluate the efficacy of using coblation in extracapsular tonsillectomy (preserving the capsule) over using it in intracapsular tonsillectomy (total).ResultsThere is statistically difference between results of extracapsular tonsillectomy and intracapsular tonsillectomy as regards postoperative pain according VAS scale (4.36 ± 2.413 vs 3.6 ± 2.041 with p value 0.0001). Also postoperative dietary intake and daily activity all are significantly different in extracapsular tonsillectomy and these differences were recorded after the fifth day.ConclusionExtracapsular coblation tonsillectomy has less morbidity than intracapsular coblation tonsillectomy.

Highlights

Coblation technique is used in many neck surgeries; there are few studies dealing with coblation in the field of tonsillectomy either intracapsular or extracapsular tonsillectomy
An extracapsular tonsillectomy means complete removal of the tonsil that leads to exposure of the muscle bed and blood vessels that lie within the pharynx
A new technique called modified coblation intracapsular total tonsillectomy (CITT) was used, in which the tonsils can be completely removed while retaining the integrity of the capsule [4]

Summary

Introduction

Coblation technique is used in many neck surgeries; there are few studies dealing with coblation in the field of tonsillectomy either intracapsular or extracapsular tonsillectomy. The aim of this study is to evaluate the efficacy of using coblation in extracapsular tonsillectomy (preserving the capsule) over using it in intracapsular tonsillectomy (total). Based on whether the tonsil is completely removed or we preserve the capsule, conventional tonsillectomy can be performed using variable techniques including cold dissection, electrocautery, microbipolar cautery, and more recently, radiofrequency, coblation, microdebrider, laser, and harmonic scalpel [1]. In IT, the tonsillar capsule is preserved This acts as a Coblation is one of the most popular techniques used in tonsillectomy. A new technique called modified coblation intracapsular total tonsillectomy (CITT) was used, in which the tonsils can be completely removed while retaining the integrity of the capsule [4]. The advantages of coblation intracapsular tonsillectomy over coblation extracapsular total tonsillectomy are not well clarified

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