Comparing the effectiveness of “plasma knife” tonsillectomy with two well-established tonsillectomy techniques: Cold dissection and bipolar electrocautery. A Prospective randomized Study

Sadikoglu, Fatih; Kurtaran, Hanifi; Ark, Nebil; Uğur, Kadriye Şerife; Yilmaz, Türker; Gozdemir, Muhammed; Mutlu, Cemil; Aktaş, Davut

doi:10.1016/j.ijporl.2009.05.003

Cited by 13 publications

(17 citation statements)

References 19 publications

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“…Despite this theoretical advantage, studies have yet to demonstrate significant difference in postoperative pain when compared to other methods . A limited number of preliminary studies have reported decreased operative time and hemorrhage using plasma knife technology, but analysis regarding surgical cost and resource efficiency has not been studied …”

Section: Introductionmentioning

confidence: 99%

“…12 A limited number of preliminary studies have reported decreased operative time and hemorrhage using plasma knife technology, but analysis regarding surgical cost and resource efficiency has not been studied. 13 The goal of this study was to evaluate and compare the most commonly used surgical methods at our institution (monopolar diathermy, coblation, and PlasmaBlade), with the intent of elucidating the most efficient method for extracapsular adenotonsillectomy. Outcomes evaluated included intraoperative time, postoperative hemorrhage rate, and resource analysis of associated surgical anesthesia and instrument costs.…”

Section: Introductionmentioning

confidence: 99%

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The utility of common surgical instruments for pediatric adenotonsillectomy

et al. 2014

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The utility of common surgical instruments for pediatric adenotonsillectomy

et al. 2014

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“…25 A lack of intra-operative bleeding has been described in most studies of coblation tonsillectomy, particularly when compared to cold dissection. 8,11,26,27 Only Bäck and co-authors 14 reported greater intra-operative blood loss with plasma coblation as compared to cold dissection combined with diathermia. Studies investigating the haemorrhage rate after coblation tonsillectomy have revealed no differences in post-operative bleeding between coblation and non-coblation techniques.…”

Section: Discussionmentioning

confidence: 99%

Coblation tonsillectomy versus cold steel dissection tonsillectomy: a morphological study

2019

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ObjectiveTo compare the extent of tissue damage produced by conventional cold steel and coblation tonsillectomy.MethodsTwenty patients underwent conventional and 18 underwent coblation tonsillectomy. The removed tonsils were histopathologically evaluated.ResultsAnalgesic use was lower in the coblation group during the early post-operative period. Histological investigation of tonsils removed by the conventional method showed intensive haemorrhage and hyperaemia in the tonsillar capsules, which was not seen in the coblation group. Furthermore, in the coblation group, there was less mast cell degranulation (p = 0.0081) and a smaller amount of skeletal muscle tissue (p = 0.0043) in the tonsillar capsules, indicating less tissue damage.ConclusionCompared to the cold steel technique, coblation tonsillectomy is superior in terms of less early post-operative pain and less damage to surrounding tissues. Significantly lower mast cell degranulation in coblation tonsillectomy may contribute to the reduction of post-operative pain.

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“…The vast majority of studies aim to gauge the area of epithelialisation within the healing tonsillar fossae as a marker for wound healing. The most common approach described in the literature is to estimate epithelialisation by direct clinical examination of the oral cavity, [8][9][10][11][12][13][14][15][16] or fibreoptic nasopharyngoscopic evaluation of the tonsillar fossae by a clinician. 17 Other studies have utilized clinical photography to estimate the area of healing by obtaining either macroscopic, 34 or endoscopic photographs.…”

Section: Estimation Of Healed Areamentioning

confidence: 99%

Wound healing after tonsillectomy – a review of the literature

et al. 2018

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ObjectiveTo summarise the available literature related to wound healing post tonsillectomy, including the stages of healing, experimental models for assessing healing (in animals and humans) and the various factors that affect wound healing.MethodsA search of the English literature was conducted using the Ovid Medline database, with the search terms ‘tonsillectomy’ or ‘tonsil’ and ‘wound healing’. Thirty-one articles that objectively assessed tonsillectomy wound healing were included for analysis.ResultsThe majority of assessments in humans investigating tonsillectomy wound healing involve serial direct clinical examinations of the oral cavity. Many patient and surgical factors have been shown to affect wound healing after tonsillectomy. There is some research to suggest that the administration of adjunctive treatment in the post-operative period may be beneficial to tonsillectomy wound healing.ConclusionWound healing post tonsillectomy has been poorly researched. Having a better understanding of the process of wound healing would allow surgeons to potentially prevent, anticipate and manage complications from the surgery that arise as part of the healing process.

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Comparing the effectiveness of “plasma knife” tonsillectomy with two well-established tonsillectomy techniques: Cold dissection and bipolar electrocautery. A Prospective randomized Study

Cited by 13 publications

References 19 publications

The utility of common surgical instruments for pediatric adenotonsillectomy

The utility of common surgical instruments for pediatric adenotonsillectomy

Coblation tonsillectomy versus cold steel dissection tonsillectomy: a morphological study

Wound healing after tonsillectomy – a review of the literature

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