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Updated: Jun 13, 2025

CO2-Lasertonsillotomy Under Local Anesthesia in Adults
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Barbed tonsillectomy.

Annalisa Pace1, Giannicola Iannella2, Giuseppe Magliulo1

  • 1Department of 'Organi di Senso', University "Sapienza", Viale dell'Università, 33, Rome, 00185, Italy.

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
|September 14, 2024
PubMed
Summary

Barbed sutures significantly reduced pain and swallowing difficulties after tonsillectomy compared to standard silk sutures. This promising technique for tonsillectomy may lead to fewer complications and faster recovery.

Keywords:
Barbed suturesBleedingPostoperative painTonsillectomy

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Area of Science:

  • Otolaryngology
  • Surgical Innovation
  • Patient Outcomes

Background:

  • Tonsillectomy is a common procedure with risks like bleeding, pain, and infection.
  • Secondary post-tonsillectomy hemorrhage can be life-threatening.
  • Current techniques aim to minimize complications, but some have drawbacks.

Purpose of the Study:

  • To evaluate the efficacy of barbed sutures in reducing post-tonsillectomy complications.
  • To compare barbed suture tonsillectomy (BT) with standard tonsillectomy using silk sutures.

Main Methods:

  • Prospective case-control study with 25 patients.
  • 11 patients underwent standard tonsillectomy with silk sutures.
  • 14 patients underwent Barbed Tonsillectomy (BT).
  • Pain assessed via Visual Analogue Scale (VAS); dysphagia via Eating Assessment Tool (EAT-10).

Main Results:

  • BT group had significantly lower VAS pain scores at 24 hours and 2 weeks.
  • BT group showed significantly lower EAT-10 scores at 2 weeks and 1 month, indicating reduced dysphagia.
  • One patient in the control group required surgical revision for bleeding; none in the BT group.

Conclusions:

  • Barbed sutures appear to be a safe and effective technique for tonsillectomy.
  • BT is associated with reduced postoperative pain, dysphagia, and complications.
  • Further research with larger cohorts is warranted to confirm these promising findings.