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Updated: Jul 12, 2025

CO2-Lasertonsillotomy Under Local Anesthesia in Adults

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Published on: November 6, 2019

The post-operative tonsillectomy (POPT) study: A multi-centre prospective paediatric cohort study.

Elliot Heward¹, John Rocke¹, George McNally¹

¹Wrightington, Wigan and Leigh NHS Foundation Trust, Wigan, UK.

Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery

|November 2, 2023

Summary

Post-operative bleeding and pain are common after pediatric tonsillectomy, with bleeding affecting 44% of children. Intracapsular coblation tonsillectomy significantly reduces both bleeding and pain, improving recovery.

Keywords:

bleeding coblation paediatric pain tonsillectomy

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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

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Published on: June 20, 2018

Area of Science:

Otolaryngology
Pediatric Surgery
Clinical Outcomes Research

Background:

Tonsillectomy is a common otolaryngologic procedure in the UK.
Understanding post-operative recovery, particularly bleeding and pain, remains limited.
Patient diaries offer a valuable tool for assessing post-operative experiences.

Purpose of the Study:

To investigate the frequency and severity of post-operative bleeding following pediatric tonsillectomy.
To analyze the intensity and pattern of post-operative pain in children after tonsillectomy.
To identify factors influencing post-operative bleeding and pain, including surgical technique.

Main Methods:

Prospective observational cohort study across 12 otolaryngology units in Northern England.
Recruitment of children aged 4-16 undergoing tonsillectomy (with or without adenoidectomy) for benign conditions.
Utilized patient diaries to record frequency/severity of bleeding and intensity/pattern of pain, analyzed with multilevel ordered logistic regression.

Main Results:

91 of 297 recruited children had usable diaries; 44% experienced post-operative bleeding, most commonly blood in saliva.
Increasing age correlated with higher bleeding odds (17% per year).
Intracapsular coblation tonsillectomy and higher surgeon grade were associated with reduced bleeding; lower age and intracapsular coblation tonsillectomy reduced pain.

Conclusions:

A significant incidence of low-level post-operative bleeding was observed, with pain persisting for approximately 5 days.
Intracapsular coblation tonsillectomy demonstrated superiority over other techniques in minimizing both post-operative bleeding and pain.
Findings emphasize the need to inform patient consent regarding expected post-surgical recovery, particularly highlighting the benefits of intracapsular coblation tonsillectomy.