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Published on: November 6, 2019
A Prospective, Randomized, Double-Blind Study of Coblation versus Dissection Tonsillectomy in Adult Patients
Singh Rakesh1, T S Anand, Garg Payal
1Department of Otorhinolaryngology, LHMC & Associated Hospitals, New Delhi, India.
Summary
Coblation tonsillectomy significantly reduces postoperative pain and blood loss compared to conventional dissection in adults. While operative time is longer, coblation offers a less painful recovery and easier technique for tonsil removal.
Area of Science:
- Otolaryngology
- Surgical Techniques
- Minimally Invasive Procedures
Background:
- Tonsillectomy is a common surgical procedure.
- Postoperative pain and bleeding are significant concerns.
- Comparing surgical methods is crucial for patient outcomes.
Purpose of the Study:
- To compare coblation tonsillectomy with conventional dissection.
- To evaluate postoperative pain, bleeding, and healing.
- To assess the efficacy in adult Indian patients.
Main Methods:
- Prospective, randomized, double-blind study.
- Sixty adult patients underwent tonsillectomy with one side coblation and the other dissection.
- Postoperative pain, bleeding, and healing were assessed over 20 days.
Main Results:
- Coblation had significantly less operative blood loss (11 ml vs 34 ml).
- 77% of patients reported less pain with coblation during recovery.
- Significant pain reduction observed at multiple postoperative time points with coblation.
Conclusions:
- Coblation tonsillectomy offers reduced operative blood loss and postoperative pain.
- It is an easy-to-learn technique with potential for improved patient recovery.
- Operative time may decrease with increased surgeon experience.
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Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...