Cauterization tonsillectomy as compared to traditional tonsillectomy technique

Alshehri, Ali; Alenzi, Haifa Lafi; Mohammed, Yazeed Mansour Ali; Musleh, Abdullah; Bharti, Rishi Kumar; Munshet, Amr Mohammed Saeed

doi:10.4103/jfmpc.jfmpc_84_20

Cited by 4 publications

(6 citation statements)

References 32 publications

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“…We found, time of operation was significantly higher in dissection method group than cauterization method group, average operative time was 25-30 minutes in dissection method and 10-15 minutes in electrocautery (p=0.001). Al�Shehri et al reported that the median time spent for the traditional tonsillectomy was 21.5 min (range, 18-25 min) compared to cauterization method that has a median time of 9 min (range, 5-13 min) 4 . The difference between mean operative times of the two methods was statistically significant.…”

Section: Resultsmentioning

confidence: 99%

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Dissection Method and Diathermy Cauterization in Tonsillectomy- A Hospital Based Comparative Study

Rahman,

Biswas,

Roy

et al. 2023

Bangabandhu Sheikh Mujib Medical Coll J

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Tonsillectomy is one of the most common procedures performed by otolaryngologists. It is a surgical operation that removes both palatine tonsils from the tonsillar fossa. It is typically performed in youngers for recurrent tonsillitis and tonsillar hypertrophy. This study was done to compare the dissection and diathermy methods of tonsillectomy and evaluate their advantages and disadvantages during surgery and convalescence. This study was a retrospective analysis of 400 patients from January 2015 to January 2020 in Otorhinolaryngology and Head-Neck Surgery department of Bangabandhu Sheikh Mujib Medical College Hospital, Faridpur. Out of 400 patients 200 patients underwent tonsillectomy by dissection method and rest 200 patients underwent electrocautery method. Total 400 patients were analyzed separately their hospital stay, blood loss per-operatively, complications in each method and overall outcome of the patients. The overall hospital staying in both types was 1-3 days. The average intra operative blood loss was 5-7 ml in cautery and average 50 ml in dissection method. The average operative time was 25-30 minutes in dissection method and 10-15 minutes was in electrocautery. We found higher amounts of blood loss and intra - operative time in dissection method than electrocautery. The chance of secondary haemorrhage was more in electrocautery method than dissection method. Pain, scar formation, odynophagia were more in cauterization method. Complete healing time was more in cauterization method than dissection method. There was no death in both methods. Although per-operative blood loss, operation time were less in cauterization method but post operative bleeding, pain, odynophagia and infection were more in electro cauterization method. In both methods, there were some advantages and some disadvantages. Bangabandhu Sheikh Mujib Med. Coll. J. 2023;2(1): 40-44

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Section: Resultsmentioning

confidence: 99%

“…With the increased popularity of day case surgery, fast procedures with short recovery are preferred. If at all feasible, the procedure should be painless, allowing for a quicker return to normal food and everyday activities 4 .…”

Section: Table Ii: Time Of Operation Of the Study Patients (N=400) Op...mentioning

confidence: 99%

Dissection Method and Diathermy Cauterization in Tonsillectomy- A Hospital Based Comparative Study

Rahman,

Biswas,

Roy

et al. 2023

Bangabandhu Sheikh Mujib Medical Coll J

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“…Post-tonsillectomy pain is thought to arise from pharyngeal mucosal inflammation, which produces local nerve irritation and pharyngeal muscle spasm. 6 It is possible that enhanced nociception is associated with unique changes in patients' metabolic profile. This hypothesis has not been previously tested.…”

Section: Introductionmentioning

confidence: 99%

Metabolomic profiling of pediatric post‐tonsillectomy pain: A proof‐of‐concept study

Mpody,

Patel,

Smoyer

et al. 2024

Pediatric Anesthesia

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IntroductionTonsillectomies are among the most common surgical procedures in children, with over 500 000 cases annually in the United States. Despite universal administration of intraoperative opioid analgesia, three out of five children undergoing tonsillectomy report moderate‐to‐severe pain upon recovering from anesthesia. The underlying molecular mechanisms of post‐tonsillectomy pain are not well understood, limiting the development of targeted treatment strategies. Our study aimed to identify candidate serum metabolites associated with varying severity of post‐tonsillectomy pain.MethodsVenous blood samples and pain scores were obtained from 34 children undergoing tonsillectomy ± adenoidectomy, and metabolomic analysis was performed. Supervised orthogonal projections to latent structures discriminant analysis were employed to identify differentially expressed metabolites between children with severe and mild pain, as well as between moderate and mild pain.ResultsPain scores differentiated children as mild (n = 6), moderate (n = 14), or severe (n = 14). Four metabolites (fatty acid 18:0(OH), thyroxine, phosphatidylcholine 38:5, and branched fatty acids C27H54O3) were identified as candidate biomarkers that differentiated severe vs. mild post‐tonsillectomy pain, the combination of which yielded an AUC of 0.91. Similarly, four metabolites (sebacic acid, dicarboxylic acids C18H34O4, hydroxy fatty acids C18H34O3, and myristoleic acid) were identified as candidate biomarkers that differentiated moderate vs. mild post‐tonsillectomy pain, with AUC values ranging from 0.85 to 0.95.ConclusionThis study identified novel candidate biomarker panels that effectively differentiated varying severity of post‐tonsillectomy pain. Further research is needed to validate these data and to explore their clinical implications for personalized pain management in children undergoing painful surgeries.

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“…Tonsillectomy is one of the oldest and the most common surgical procedure constituting 20% of all otorhinolaryngology surgeries done worldwide. 1,2 Although tonsillectomy is a welltolerated surgery, it is still not devoid of complications. 3 Posttonsillectomy hemorrhage is the most frequently encountered complication after tonsillectomy, in addition to pain, dehydration, airway obstruction, vomiting and pulmonary edema.…”

Section: Introductionmentioning

confidence: 99%

“…7 This reason along with the low cost and ease of the procedure conventional dissection and electrocauterization tonsillectomy are still the two most commonly used techniques. 8,2 Nevertheless there is no consensus in optimal method of tonsillectomy. 9 Hence we chose to conduct a study comparing conventional dissection and bipolar electrocauterization tonsillectomy.…”

Section: Introductionmentioning

confidence: 99%

Conventional Dissection and Bipolar Electrocauterization Methods of Tonsillectomy: A Comparative Study

Sharma¹,

Bhandari²,

Paudel³

2022

J. Nepalgunj Med. College

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Introduction: Tonsillectomy is frequently performed surgical procedure. There are several different methods with varied advantages and disadvantages. In spite of the different techniques available there is no consensus and definite evidence for best method. The most commonly performed are conventional dissection and bipolar electrocauterization methods. Aims: The aim of the study was to compare time required for the completion of surgery, intraoperative and postoperative blood loss along with post operative pain between conventional dissection and bipolar electrocauterization methods. Methods: This comparative study was conducted from August 2019 to March 2021 in total of 30 patients planned for tonsillectomy in department of Otorhinolaryngology, Nepalgunj Medical College Teaching Hospital.In every patient right side tonsillectomy was done with conventional dissection method and left side tonsillectomy was done with bipolar electrocauterization method. Results: The mean age was 27.2±13.08 years. The mean duration of surgery was 16.53 ± 2.43 min and 11.10 ± 1.93 min in conventional dissection method and bipolar electrocauterization method respectively. The difference was statistically significant. Intraoperative blood loss was significantly lower in bipolar electrocauterization method with mean intraoperative blood loss of 19 ±4.62 ml in bipolar electrocauterization group and 81.83 ±36.54 ml in conventional dissection method. The pain intensity was statistically similar in both methods at all-time intervals post operatively. Conclusion: In tonsillectomy, bipolar electrocauterization method has advantage over conventional dissection method in regards to reduced surgical time and intra operative blood loss, without any significant difference in post-operative pain intensity and post-operative hemorrhage.

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Cauterization tonsillectomy as compared to traditional tonsillectomy technique

Cited by 4 publications

References 32 publications

Dissection Method and Diathermy Cauterization in Tonsillectomy- A Hospital Based Comparative Study

Dissection Method and Diathermy Cauterization in Tonsillectomy- A Hospital Based Comparative Study

Metabolomic profiling of pediatric post‐tonsillectomy pain: A proof‐of‐concept study

Conventional Dissection and Bipolar Electrocauterization Methods of Tonsillectomy: A Comparative Study

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