Pilot comparison between potassium titanyl phosphate laser and bipolar radiofrequency in paediatric tonsillectomy

Hegazy, Hassan; Albirmawy, Osama A.; Kaka, A H; S, Behiry A

doi:10.1017/s0022215107008328

Cited by 16 publications

(20 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…PTH may have been reported as primary (generally defined as occurring within 24 hours of surgery), secondary (generally defined as occurring >24 hours postoperatively), or at an undefined or unspecified time. 8…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Postoperative Bleeding and Associated Utilization following Tonsillectomy in Children: A Systematic Review and Meta‐analysis

Francis

Fonnesbeck

Sathe

et al. 2017

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

Objective To assess post-tonsillectomy hemorrhage (PTH), associated non-operative readmissions/revisits, and reoperations in children. Data Sources MEDLINE, EMBASE, and the Cochrane Library. Review Methods Two investigators independently screened studies against predetermined criteria and extracted key data. Investigators independently assessed study risk of bias and the strength of the evidence of the body of literature. We calculated unadjusted pooled estimates of PTH frequency and also conducted a Bayesian meta-analysis to estimate frequency of primary and secondary PTH and PTH-associated reoperation and revisits/readmissions by partial and total tonsillectomy and surgical approach. Results In meta-analysis, the frequency of primary and secondary PTH associated with total and partial tonsillectomy was below 4% for any technique and with overlapping confidence bounds. Pooled frequencies of PTH were also below 5% overall (4.2% for total tonsillectomy; 1.5% for partial tonsillectomy) in comparative studies. Fewer PTH occurred with tonsillectomy for obstructive sleep-disordered breathing than throat infection. In meta-analysis, frequency of PTH-associated non-operative revisits/readmission or reoperation ranged from 0.2% to 5.7% for total tonsillectomy and from 0.1% to 3.7% for partial tonsillectomy. At least four deaths were reported in case series including 1,778,342 children. Conclusions PTH occurred in roughly 4% of tonsillectomies in studies included in this review. Though studies typically did not report bleeding severity or amount, relatively few episodes of PTH necessitated reoperation for hemostasis. Nonetheless, tonsillectomy is not without risk of harm. Frequency of PTH across techniques was similar; thus we cannot conclude that a given technique is superior.

show abstract

Section: Resultsmentioning

confidence: 99%

“… * References 19, 20, 23, 25, 27, 29, 33, 34, 36, 38-41, 43, 44, 46, 47, 49, 50, 52-59, 62-64, 67, 71, 72, 74-79, 81-84, 88-92, 95, 101-105, 108-122 …”

mentioning

confidence: 99%

See 1 more Smart Citation

Postoperative Bleeding and Associated Utilization following Tonsillectomy in Children: A Systematic Review and Meta‐analysis

Francis

Fonnesbeck

Sathe

et al. 2017

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

show abstract

“…These include lasers, 1 , 2 coblation, 3 , 4 ultrasonic scalpels, 5 , 6 cryosurgery, 7 argon plasma scalpels, 8 bipolar electrosurgical scissors 9 and intracapsular microdebriders 10 . The ideal tonsillectomy procedure should achieve efficient, safe and atraumatic tonsil removal with minimal blood loss and post-operative morbidity 2 . Post-tonsillectomy morbidities include pain, primary or reactionary haemorrhage (at under 24 hours), and post-operative infection, which can result in secondary or delayed haemorrhage (at over 24 hours) 11 .…”

Section: Introductionmentioning

confidence: 99%

A randomised controlled trial of coblation, diode laser and cold dissection in paediatric tonsillectomy

et al. 2015

Self Cite

View full text Add to dashboard Cite

show abstract

“…The postoperative epithelization rate is inversely related to bleeding risk. The literature has shown secondary hemorrhage to be more common than primary hemorrhage (16). A recently published paper indicates an increased risk of epithelial separation between postoperative day six and nine (16,17).…”

Section: Discussionmentioning

confidence: 99%

Does Surgical Technique Significantly Change the Rate of Post-Tonsillectomy Hemorrhage?

Dündar

Akcan

Cebeci

et al. 2018

Düzce Tıp Fakültesi Dergisi

View full text Add to dashboard Cite

Aim: Tonsillectomy is one of the most common surgical procedures in the pediatric population, as well as one of the first operations learned during otolaryngology residency. This study aims to evaluate the effect of surgical technique on the occurrence of posttonsillectomy hemorrhage. Material and Methods: This prospectively-designed clinical trial was conducted in a tertiary referral center between May 2012 and April 2015. A total of 608 patients had tonsillectomies performed by a single surgeon with three different surgical techniques used during the study period. Patients in group one were operated on using cold dissection; group two comprised patients who underwent bipolar cautery; group three had the posterior pillar mucosal suturing technique performed. Results: 608 patients met inclusion criteria; 165 of them in group one, 274 in group two, and 169 in group three. The median age was 5 (2-14) years old. A total of five patients (0.82%) experienced post-operative bleeding. One of these patients (from group one) experienced primary hemorrhage. The four others were considered secondary hemorrhage; two from each the bipolar cautery and posterior pillar mucosal suturing groups. The rates of post-operative hemorrhage in each group were 0.61%, 0.73% and 1.18%, respectively (p=0.861). Only one of the five patients necessitated a return to the operating room to control the bleeding. Conclusion: Our study findings suggest that the choice of surgical technique does not affect the post-tonsillectomy bleeding rate. There were no significant differences in bleeding rates between subgroups.

show abstract

Pilot comparison between potassium titanyl phosphate laser and bipolar radiofrequency in paediatric tonsillectomy

Cited by 16 publications

References 10 publications

Postoperative Bleeding and Associated Utilization following Tonsillectomy in Children: A Systematic Review and Meta‐analysis

Postoperative Bleeding and Associated Utilization following Tonsillectomy in Children: A Systematic Review and Meta‐analysis

A randomised controlled trial of coblation, diode laser and cold dissection in paediatric tonsillectomy

Does Surgical Technique Significantly Change the Rate of Post-Tonsillectomy Hemorrhage?

Contact Info

Product

Resources

About