Coblation Versus Conventional Tonsillectomy: A Double Blind Randomized Controlled Trial

El-Taher, Mostafa; Aref, Zaki F.

doi:10.1007/s12070-017-1189-z

Cited by 11 publications

(11 citation statements)

References 15 publications

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“…Similarly, these results are consistent with the study by El-Taher and Aref (14) which showed that the mean operating time was 10.63±2.45 min in the coblation group and 30.66±8.66 min in the conventional group, meaning that the coblation group's mean operation time was much reduced.…”

Section: Discussionsupporting

confidence: 91%

Comparative Study between Traditional Tonsillectomy and Tonsillectomy by Coblation

Easa¹,

Farghaly²,

Abdelmawla³

2023

The Egyptian Journal of Hospital Medicine

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Background: One of the most frequent surgical operations carried out globally is a tonsillectomy. Tonsillectomy is performed using a variety of methods that have been developed throughout time. In an effort to improve the procedure's safety and reduce postoperative morbidity and complications, many procedures have developed over time. Objective: The aim of the current study was to compare traditional tonsillectomy vs coblation tonsillectomy in terms of operation time, intraoperative blood loss, postoperative pain, and postoperative healing. Patients and methods: This prospective study included a total of 100 cases of chronic tonsillitis undergoing tonsillectomy (50 cases by traditional tonsillectomy and 50 cases by coblation tonsillectomy), attending at Outpatient Clinic,

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Section: Discussionsupporting

confidence: 91%

Comparative Study between Traditional Tonsillectomy and Tonsillectomy by Coblation

Easa¹,

Farghaly²,

Abdelmawla³

2023

The Egyptian Journal of Hospital Medicine

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“…In some studies, there is no strong evidence to suggest that the coblation technique exhibits any benefit or increases the risk of primary and secondary hemorrhage when compared to other techniques[ 25 ]. Nevertheless, another study found that the coblation technique was associated with higher incidence of secondary tonsillectomy hemorrhage[ 26 ]. Coblation patients have higher rates of postoperative bleeding than electric monopolar cautery patients[ 23 ].…”

Section: Discussionmentioning

confidence: 99%

Primary and secondary postoperative hemorrhage in pediatric tonsillectomy

Xu¹,

Jin

et al. 2021

WJCC

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BACKGROUND Tonsillectomy is the most common procedure for treatment of pediatric recurrent acute tonsillitis and tonsillar enlargement that contributes to obstructive sleep apnea hypopnea syndrome. Postoperative hemorrhage of tonsillectomy is a life-threatening complication. AIM To identify the risk factors that may contribute to primary and secondary post-operative hemorrhage in pediatric tonsillectomy. METHODS The clinical data from 5015 children, 3443 males and 1572 females, aged 1.92-17.08 years, with recurrent tonsillitis and/or tonsil hypertrophy who underwent tonsillectomy in our hospital from January 2009 to December 2018 were retrospectively collected. The variables including sex, age, time of onset, diagnosis, method of tonsillectomy, experience of surgeon, time when the surgery started and monthly average air temperature were abstracted. The patients with postoperative hemorrhage were classiﬁed into two groups, the primary bleeding group and the secondary bleeding group, and their characteristics were compared with those of the nonbleeding group separately. Statistical analysis was performed by chi-square test with SPSS 20. RESULTS Ninety-two patients had post-tonsillectomy hemorrhage, and the incidence rate of post-tonsillectomy hemorrhage was 1.83%. The mean age was 5.75 years. Cases of primary hemorrhage accounted for approximately 33.70% (31/92), and cases of secondary hemorrhage occurred in 66.30% (61/92). The rate of reoperation for bleeding was 0.92%, and the rate of rehospitalization for bleeding was 0.88% in all patients. Multiple hemostasis surgery was performed in 6.52% (3/46) of patients. The method of tonsillectomy (coblation tonsillectomy) and experience of the surgeon (junior surgeon with less than 5 years of experience) were significantly associated with primary hemorrhage ( χ 2 = 5.830, P = 0.016, χ 2 = 6.621, P = 0.010, respectively). Age (over 6 years old) and time of onset (more than a 1-year history) were significantly associated with secondary hemorrhage ( χ 2 = 15.242, P = 0.000, χ 2 =4.293, P = 0.038, respectively). There was no signiﬁcant difference in sex, diagnosis, time when the surgery started or monthly average air temperature. There was a signiﬁcant difference in the intervention measures between the primary bleeding group and the secondary bleeding group ( χ 2 = 10.947, P = 0.001). The lower pole and middle portion were the common bleeding sites, followed by the upper pole and palatoglossal arch. CONCLUSION The incidence rate of post-tonsillectomy hemorrhage is low. Coblation tonsillectomy and less tha...

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“…In recent years, the coblation has been widely used in clinical settings. It had several advantages like less tissue destruction, clear field, decreased wound, and less blood loss during surgery [11] . Therefore, this method had become increasingly used in tonsillectomy.…”

Section: Discussionmentioning

confidence: 99%

Incidence of Postoperative Complications following Coblation Tonsillectomy with and Without Sutures

Mohamed

Fathallah

Seleim

2022

International Journal of Medical Arts

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Article informationBackground: Tonsillectomy is the commonest surgical procedure performed by otolaryngologists. Many surgical techniques and instruments are available and continually developed to reduce postoperative complications. However, no consensus exists regarding the standard technique. The Aim of The Work:The current work aimed to compare the incidence of postoperative complications [bleeding and pain], after coblation tonsillectomy with and without sutures. Patients and Methods:The study included 60 patients with chronic tonsilitis scheduled for elective tonsillectomy. They categorized to either coblation with or without sutures. All were preoperatively assessed by history taking, physical examination and laboratory investigations. After surgical intervention, the follow-up was continued for 4 weeks. Any complications [especially pain and hemorrhage] were documented and compared.Results: Both groups were comparable regarding patient's age and sex. In addition, laboratory investigations, and pain at the fourth postoperative week were comparable between groups. Postoperative bleeding was reported in 5.0%, and was restricted to coblation without sutures [3 patients; represented10.0% of the group]; it was mild and treated conservatively [no patient required secondary surgical intervention to control bleeding]. Pain was significantly reduced in coblation with suture than without sutures at the first, the second and the third postoperative weeks [6.40±0.70, 2.90±0.99 and 0.00±0.00 vs 8.8±0.79, 4.33±0.89, and 1.17±0.83, successively]. Pain was completely absent at the fourth postoperative week in both groups. Conclusion:Coblation with sutures is superior than coblation with sutures for tonsillectomy. It is associated with lower postoperative pain and hemorrhage, which reflects the safety and efficacy of the procedure.

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Coblation Versus Conventional Tonsillectomy: A Double Blind Randomized Controlled Trial

Cited by 11 publications

References 15 publications

Comparative Study between Traditional Tonsillectomy and Tonsillectomy by Coblation

Comparative Study between Traditional Tonsillectomy and Tonsillectomy by Coblation

Primary and secondary postoperative hemorrhage in pediatric tonsillectomy

Incidence of Postoperative Complications following Coblation Tonsillectomy with and Without Sutures

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