Coblation versus Diode Laser Tonsillectomy in Children: A Randomized Controlled Trial

Matin, MA; Sabur, MA; Azad, Mak; Islam, M A

doi:10.3329/bjo.v23i2.45144

Cited by 2 publications

(3 citation statements)

References 16 publications

(24 reference statements)

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“…The better results of coblation in comparison with diode laser in operative time and intraoperative blood loss may be attributed to the larger probe size of the coblation handle with a wider surface area of effect concerning the diode laser handle. Similar ndings were observed in previous studies ( 14) (15). But the results of our study (signi cantly lower VAS scores of postoperative pain in diode laser in comparison with coblation technique) in contrast to the above-mentioned studies concerning postoperative pain.…”

Section: Discussionsupporting

confidence: 91%

“…The outcomes were good in studies involving a small size of patients ( 22)(18). Moreover, many randomized controlled studies comparing the coblation with other techniques of tonsillectomy revealed the superiority of this kind over other procedures regarding the operative time, amount of intraoperative blood loss, and postoperative pain ( 14) (15). Basu et al study reported that harmonic scalpel tonsillectomy is better than coblation in the following parameters operative time, intraoperative blood loss volume, and postoperative bleeding (5).…”

Section: Discussionmentioning

confidence: 99%

“…However, few studies investigate the comparison between the coblation and diode laser tonsillectomy in children ( 14) (15). Hence, we aimed to compare the coblation and diode laser tonsillectomy in pediatrics and adult populations regarding the operative time, intraoperative blood loss, and postoperative pain and complications.…”

Section: Introductionmentioning

confidence: 99%

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Coblation Versus Diode Laser Tonsillectomy: A Comparative Study

Alaqeedy

Rashid

Al-Ani

2021

Preprint

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Introduction: The study aimed to compare the 2 procedures of tonsillectomy (coblation and diode laser) concerning the operative time, the amount of blood loss, postoperative pain, and other complications. Materials and Methods: A comparative study was conducted at many Private Hospitals, Baghdad, Iraq from February 2019- February 2020. Coblation and laser tonsillectomy were performed on the same patient (one for each side) which was blinded to the patients or their caregivers and the surgeon who did the tonsillectomy. Data concerning the age, gender, indications for tonsillectomy, operative time, the amount of the blood loss, post-tonsillectomy pain by VAS scores, and other complications were recorded for each patient. Results: Out of 62 participants, there were 34 (54.8%) females. The majority were from the age group ≤18 years (n=54, 87.1%). The operative time and amount of the intraoperative blood loss were significantly lower in the coblation than a diode laser tonsillectomy. However, the postoperative pain scores in the diode laser were a statistically significant difference less than the coblation group at the periods 3 hours, 8 hours, 24 hours, and 7 days (P-value<0.05). While there was no statistically significant difference between the two groups at 2 weeks postoperative period (P-value=0.392). No primary or secondary postoperative bleeding in all patients. Conclusion: coblation was better than diode laser because of shorter operative time and less intraoperative blood loss. However, the diode laser technique had lesser postoperative pain at the postoperative periods 3 hours, 8 hours, 24 hours, and 7 days than coblation.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%