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A prospective, randomized, single-blind study comparing coblation and monopolar extracapsular tonsillectomy.

Zhengcai Lou1, Zihan Lou2,3,4,5, Tian Lv1

  • 1Department of Otorhinolaryngology Yiwu Central Hospital Yiwu city Zhejiang Province China.

Laryngoscope Investigative Otolaryngology
|June 23, 2022
PubMed
Summary
This summary is machine-generated.

Monopolar electrocautery for extracapsular tonsillectomy in children resulted in less operative time, lower costs, and reduced post-tonsillectomy hemorrhage (PTH) compared to coblation. While coblation showed lower pain on days 1 and 2, monopolar technique offers significant advantages.

Keywords:
coblationmonopolar electrocauterypain scorespost‐hemorrhage tonsillectomytonsillectomy

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Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Surgical Technology

Background:

  • Tonsillectomy is a common pediatric surgical procedure.
  • Coblation and monopolar electrocautery are two techniques used for tonsillectomy.
  • Comparing these techniques is crucial for optimizing patient outcomes and resource utilization.

Purpose of the Study:

  • To compare coblation and monopolar electrocautery for extracapsular tonsillectomy in children.
  • Key outcomes evaluated include blood loss, pain, post-tonsillectomy hemorrhage (PTH), and medical costs.

Main Methods:

  • A study involving 293 pediatric patients (aged 6-15 years) undergoing extracapsular tonsillectomy.
  • Data collected on estimated blood loss, postoperative pain scores, operation time, PTH incidence, and disposable equipment costs.

Main Results:

  • Coblation showed lower pain scores on postoperative days 1 and 2, but similar pain thereafter.
  • Monopolar electrocautery had significantly shorter operation times and substantially lower costs.
  • Secondary post-tonsillectomy hemorrhage (PTH) rates were significantly lower with monopolar technique (0.68%) versus coblation (6.16%).

Conclusions:

  • Monopolar electrocautery offers significant advantages over coblation for pediatric extracapsular tonsillectomy.
  • These advantages include reduced operative time, lower costs, and decreased rates of secondary post-tonsillectomy hemorrhage (PTH).
  • While coblation may offer slight short-term pain benefits, monopolar technique presents a more favorable overall profile.