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Updated: Jul 13, 2025

CO2-Lasertonsillotomy Under Local Anesthesia in Adults
Published on: November 6, 2019
Postoperative Morbidity of Different Tonsillectomy Techniques: A Systematic Review and Network Meta-Analysis
Elena Russo1,2, Bianca Maria Festa1,2, Andrea Costantino1,2
1Department of Biomedical Sciences, Humanitas University, Pieve Emanuele (MI), Italy.
Objective:
To compare different tonsillectomy techniques in terms of postoperative bleeding incidence and postoperative pain.
Methods:
An arm-based network analysis was conducted using a Bayesian hierarchical model. The primary and secondary outcomes were postoperative bleeding incidence and mean postoperative pain score.
Results:
A total of 6464 patients were included for five different interventions (cold dissection tonsillectomy; extracapsular coblation tonsillectomy; intracapsular coblation tonsillectomy [ICT]; bipolar diathermy tonsillectomy [BDT]; monopolar diathermy tonsillectomy). ICT showed the lowest absolute risk (4.44%) of postoperative bleeding incidence (73.31% chance of ranking first) and the lowest mean postoperative pain score (1.74 ± 0.68) with a 94.0% chance of ranking first, whereas BDT showed both the highest absolute risk of bleeding incidence (10.75%) and the highest mean postoperative pain score (5.67 ± 1.43).
Conclusions:
ICT seems to offer better postoperative outcomes, in terms of reduced risk of bleeding and reduced pain. Further prospective studies are advised to confirm these findings.
Level Of Evidence:
NA Laryngoscope, 134:1696-1704, 2024.
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