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Tonsillitis II: Management01:26

Tonsillitis II: Management

This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
Chronic Pharyngitis01:23

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Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
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Tonsillitis I: Introduction01:30

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CO2-Lasertonsillotomy Under Local Anesthesia in Adults
05:07

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Published on: November 6, 2019

Coblation adenotonsillectomy in children.

Muhammad Shakeel1, Aaron Trinidade, Ahmed Al-Adhami

  • 1Department of Otolaryngology, Aberdeen Royal Infirmary, Aberdeen, UK. drshakeel@doctors.org.uk

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|September 18, 2012
PubMed
Summary

Coblation tonsillectomy in children shows low rates of primary and secondary bleeding, with minimal re-admissions for bleeding complications. This technique is effective for tonsillectomy and adenotonsillectomy procedures.

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Area of Science:

  • Otolaryngology
  • Pediatric Surgery

Background:

  • Tonsillectomy is a common pediatric surgical procedure.
  • Post-tonsillectomy bleeding and pain are significant concerns.

Purpose of the Study:

  • To evaluate the re-admission rate for post-tonsillectomy pain.
  • To determine the primary and secondary post-tonsillectomy bleeding rates.
  • To assess the percentage of children requiring intervention for bleeding after coblation tonsillectomy.

Main Methods:

  • A retrospective descriptive study was conducted.
  • Data were collected from 106 children who underwent coblation tonsillectomy or adenotonsillectomy between 2004 and 2006.
  • Hospital case notes were reviewed for demographics, surgical details, and complications.

Main Results:

  • Only one patient (less than 1%) experienced primary bleeding requiring re-operation.
  • Seven patients (6.7%) were re-admitted for secondary bleeding.
  • Three patients (2.8%) required general anesthesia to control secondary bleeding.

Conclusions:

  • Coblation tonsillectomy demonstrates a low incidence of primary and secondary bleeding in children.
  • The technique appears safe and effective for pediatric tonsillectomy and adenotonsillectomy.