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. 2022 Dec;74(Suppl 3):5706-5711.
doi: 10.1007/s12070-022-03079-0. Epub 2022 Jan 25.

Coblation Versus Cold Dissection Tonsillectomy: A Comparative Study

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Coblation Versus Cold Dissection Tonsillectomy: A Comparative Study

Mohammed Saeed Sheet et al. Indian J Otolaryngol Head Neck Surg. 2022 Dec.

Abstract

Tonsillectomy is the most frequently performed surgery in the recent years. Many techniques have been advocated to improve surgical efficacy and decrease postoperative morbidity. Probably the most update was coblation tonsillectomy. This is a comparative study which was conducted on 50 patients (23 females and 27 males) who underwent tonsillectomy operations, 25 patients using cold steel dissection method whereas coblation technique was used for the rest 25 patients. Follow up was done at day 1, 3, 7 and 14 and the related parameters were calculated. The mean age of patients was 11.6 years with a mean of 2.2-40 years. There were 27 (54%) males out of 50 and 23 (46%) were females. Male to female ratio was 54%:46% ≈ 1.17:1. The current study revealed significant difference between coblation versus cold dissection tonsillectomy. Postoperative pain was significantly less at day 3 and day 7 using coblation technique. Moreover, there were less intraoperative bleeding, less time in days to return to normal diet and less time to return to normal activities. We believe that coblation tonsillectomy carries less morbidity than cold steel dissection, hence we recommend it to be applied at our hospital.

Keywords: Coblation; Cold steel dissection method; Tonsillectomy.

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Conflict of interest statement

Conflict of interestAll authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Shows EVAC 70 Xtra device used in current study
Fig. 2
Fig. 2
Shows the device mentioned above connected to the irrigation system
Fig. 3
Fig. 3
Shows visual analogue scale (VAS) used in current study for older patients [7]
Fig. 4
Fig. 4
Shows parents postoperative pain measure (PPPM) used in current study for children who cannot complete the survey [8]
Fig. 5
Fig. 5
Age distribution of patients
Fig. 6
Fig. 6
Age distribution for each type of operation
Fig. 7
Fig. 7
Gender distribution of patients

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