Comparison Between Tonsillectomy With Thermal Welding and the Conventional ‘Cold’ Tonsillectomy Technique

Sezen, Ozan Seymen; Kaytanci, Hande; Kubilay, Utku; Coşkuner, Temel; Ünver, Şeref

doi:10.1111/j.1445-2197.2008.04722.x

Cited by 22 publications

(27 citation statements)

References 14 publications

(19 reference statements)

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“…The ideal technique should be fast, reliable, with less bleeding and pain and with quick recovery period. Although cold dissection tonsillectomy is the most common technique in surgical techniques, bipolar electro dissection tonsillectomy techniques are among alternates (Sezen et al, 2008). Though operative time and blood loss has been decreased with electro cautery technique, postoperative pain is a significant cause of morbidity.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of Cold Technique Tonsillectomy and Thermal Welding Tonsillectomy at Different Age Groups

et al. 2017

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26) Prague Medical Report / Vol. 118 (2017) Key words: Tonsillectomy -Thermal welding -Cold technique -Postoperative painAbstract: The aim of this study is to compare objectively advantages and disadvantages of cold technique tonsillectomy and thermal welding tonsillectomy at the same case. A total of 100 patients, 53 patients younger than 12 years of age and 47 patients elder than 12 years of age, were included in this study. Tonsillectomy was performed by using cold technique on the right side of the palatine tonsils and thermal welding on the left side. Right and left sides were compared regarding perioperative bleeding, surgical dissection time, postoperative pain scale at the 1 st and 7 th day and postoperative bleeding parameters. Perioperative bleeding was found to be higher in cold technique side in patients younger than 12 years of age (p<0.001). Postoperative pain score on the day 1 was significantly higher in cold technique side, whereas it was found to be higher in thermal welding side at postoperative day 7 (p<0.001). Perioperative bleeding was found to be significantly higher in cold technique side (p<0.001) and surgical dissection time of thermal welding was found to be longer (p<0.001) in patients elder than 12 years of age. Postoperative pain score at the day 1 and day 7 was found to be higher in thermal welding side (p<0.001). Postoperative pain score at the day 1 and day 7 were statistically significantly higher in patients elder than 12 years of age. As a result, both techniques have its unique superior aspects and both can be applied as a routine tonsillectomy technique.

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Section: Discussionmentioning

confidence: 99%

“…In the study by Sezen et al (2008) on 50 patients, the use of thermal welding has been found to significantly reduce operation time compared to cold technique method. In the study by Ozkiris et al (2013), it was found to be significantly longer in cold technique patients compared to thermal welding and bipolar cautery.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Cold Technique Tonsillectomy and Thermal Welding Tonsillectomy at Different Age Groups

et al. 2017

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“…The [42] 81 bip. NS 0 4.9 2.5 2.5 0 VSS -thermal welding Sezen et al [43] 81 cold NS 0 0 ? 0 0 VSS -thermal welding Stavroulaki et al [44] 16 cold NS 0 ?…”

Section: Surgical Technique: Other Methodsmentioning

confidence: 99%

Hemorrhage after Tonsillectomy: Does the Surgical Technique Really Matter?

Gysin

Dulguerov

2013

ORL

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A thorough review of the publications on surgical techniques used for tonsillectomy is provided, emphasizing randomized studies and meta-analysis. In the assessment of the data it is important to clearly define and categorize the types of posttonsillectomy bleeding (PTB), as well as the various factors that have been associated with increased PTB. In recent audits of a large number of tonsillectomies, the PTB rates seem to concur: 1% early and 2.5% delayed PTB; 10% anamnestic, 2% objective, and 2% re-operation PTB. Objective PTB rates beyond 10% should require an audit. The bipolar technique seems associated with the least early PTB, while the cold technique is associated with the least delayed PTB. Because of the lack of large well-conducted randomized trials, it is difficult to conclude which technique is the best. With electrocautery techniques, the current power should be adjusted to the minimal level providing hemostasis. Surgical techniques for tonsillectomy that should probably be abandoned include monopolar electrocautery, Coblation, various lasers, and the harmonic scalpel. Vesselsealing systems might hold promise and deserve further evaluation. Tonsillotomy might be associated with less postoperative pain, but the hemorrhagic advantage in randomized studies is not obvious. Tonsil regrowth rates and efficacy to treat obstruction need also further evaluation.

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“…As postoperative pain is the most significant subjective symptoms as far as patients usually alert about it. (15) Many literatures mentioned that postoperative pain should be minimized not only for the patients comfort but also the pain usually impair swallowing with a great risk of dehydration, infection and secondary hemorrhage. (16) Generally in the present study, we found that postoperative pain score in the laser group was slightly greater in CO 2 laser tonsillectomy group with no statistical significant difference and this observation came in agreement to data of Auf et al 1997 who reported that laser tonsillectomy caused more postoperative pain than conventional blunt dissection.…”

Section: Discussionmentioning

confidence: 99%

Postoperative Pain After Tonsillectomy; Comparison Between CO2 Laser Versus Conventional Dissection Tonsillectomy

Alharbi¹

2015

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Abstract:Background: Postoperative pain after tonsillectomy is a great problem that the ideal tonsillectomy operation should have little or no morbidity or mortality with excellent outcome. Aim of the study:To compare the outcome of postoperative pain with two different methods of tonsillectomy, conventional dissection Tonsillectomy versus CO 2 laser assisted tonsillectomy procedure. Method: Randomized clinical trial was done on 126 adult patients with chronic recurrent tonsillitis that underwent tonsillectomies operation divided into two groups. Group A (n=63) subjected to Conventional dissection tonsillectomy .Group B (n=63) subjected to CO 2 Laser assisted tonsillectomy. Results: There was no statistically significant difference between patients in both groups with regard to mean VAS for pain starting from day 0 to day 10after initiation of treatment .Mean VAS for post to nsillec to my pain in both groups revealed that at the end of day 10, pain was completely absent in both groups. Conclusion: Conventional dissection Tonsillectomy is almost similar to CO 2 Laser assisted tonsillectomy operation in post operative pain and patient's quality of life but Laser-assisted tonsillectomy has shown to have shortened in the operative time with reduces the blood loss.

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Comparison Between Tonsillectomy With Thermal Welding and the Conventional ‘Cold’ Tonsillectomy Technique

Cited by 22 publications

References 14 publications

Comparison of Cold Technique Tonsillectomy and Thermal Welding Tonsillectomy at Different Age Groups

Comparison of Cold Technique Tonsillectomy and Thermal Welding Tonsillectomy at Different Age Groups

Hemorrhage after Tonsillectomy: Does the Surgical Technique Really Matter?

Postoperative Pain After Tonsillectomy; Comparison Between CO2 Laser Versus Conventional Dissection Tonsillectomy

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