Coblation Adenotonsillectomy: An Improvement Over Electrocautery Technique?

Glade, Robert S.; Pearson, Susan E.; Zalzal, George H.; Choi, Sukgi S.

doi:10.1016/j.otohns.2005.11.005

Cited by 66 publications

(45 citation statements)

References 13 publications

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“…These data appear different from our own experience and that of the posttonsillectomy hemorrhage literature [42,43,44,45,46,47,48,49,50]. In their study involving the use of dexamethasone for emesis prophylaxis in adenotonsillectomy, Gunter et al [51] found only 1 out of 230 subjects (0.4%) experienced hemorrhage in the first 24 h following surgery[.…”

Section: A Controversy Emerges: the Trial Of Czarnetzki Et Alcontrasting

confidence: 71%

The Steroid Controversy: Where Are We?

Keller

Brigger

2013

ORL

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Dexamethasone is widely administered to children during elective tonsillectomy to reduce the rate of postoperative nausea and vomiting, as well as decrease postoperative use of pain medications. Over the past two decades, there has been a wealth of literature advocating the practice that has led to endorsement by a variety of anesthesia and otolaryngology professional associations. However, the publication of a trial that was halted due to a potential dose-dependent association between postoperative hemorrhage and dexamethasone raised significant scrutiny regarding the practice in 2008. As a result, significant re-evaluation of existing data as well as the development and execution of additional trials have been pursued in recent years. Ultimately, the body of evidence that currently exists appears to support the concept that a single dose of perioperative dexamethasone is not associated with undue risk. A decision to withdraw dexamethasone from use in pediatric tonsillectomy needs to be weighed against the potential of causing increased postoperative nausea, vomiting, pain, and resultant hospital readmission. At this point, surgeons and anesthesiologists should feel comfortable giving perioperative dexamethasone but must remain vigilant for bleeding complications.

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Section: A Controversy Emerges: the Trial Of Czarnetzki Et Alcontrasting

confidence: 71%

The Steroid Controversy: Where Are We?

Keller

Brigger

2013

ORL

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“…A specific concern for children under 3 years of age was raised by the retrospective study by Glade et al [ 12 ; level 3]. A higher bleeding rate was seen in the 104 children who had Coblation compared to the 187 who had MES (p = 0.0065) [12] .…”

Section: Secondary Hemorrhagementioning

confidence: 99%

Coblation for Tonsillectomy: An Evidence-Based Review

Shah

Dunham

2007

ORL

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“…Coblation adenoidectomy caused less postoperative neck pain than curette/cautery adenoidectomy without significant advantage over cautery adenoidectomy [18] . Children who received Coblation electrosurgery tonsillectomy appeared to experience a better quality postoperative course, with no detriment to operative benefits of conventional electrosurgery.…”

Section: Discussionmentioning

confidence: 86%

Tonsillectomy and Adenoidectomy Techniques: Past, Present and Future

Sargi¹,

Younis²

2007

ORL

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Although the number of procedures has significantly decreased over the past century, tonsillectomy and adenoidectomy are commonly performed surgeries in the pediatric group, with obstructive sleep apnea being the most common indication. Despite the availability of newer technologies, tonsillectomy is still associated with a relatively high risk of postoperative morbidity. Pain and postoperative bleeding can have a significant impact on the child’s health and quality of life. This article reviews the currently available techniques for tonsillectomy and adenoidectomy, with their characteristics and potential benefits. No gold standard exists at this point, and further prospective clinical trials are needed in this perspective.

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Coblation Adenotonsillectomy: An Improvement Over Electrocautery Technique?

Abstract: B-3b.

Cited by 66 publications

References 13 publications

The Steroid Controversy: Where Are We?

The Steroid Controversy: Where Are We?

Coblation for Tonsillectomy: An Evidence-Based Review

Tonsillectomy and Adenoidectomy Techniques: Past, Present and Future

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