The Use of Bipolar Electrocautery Tonsillectomy in Patients with Pediatric Respiratory Tract Obstruction

doi:10.4328/jcam.506

Cited by 4 publications

(2 citation statements)

References 26 publications

(26 reference statements)

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“…e rapidness in pain relief with partial tonsillectomy vs. total tonsillectomy was also reported by Wang et al [5]. In another study conducted on 76 patients comparing the intraoperative and postoperative clinical results of bipolar electrocautery tonsillectomy and conventional tonsillectomy techniques in children with respiratory tract obstruction, children who underwent bipolar electrocautery tonsillectomy group had significantly less scores in pain throughout their recovery period, duration until resumption of oral intake, intake of painkiller, recovery time, and postoperative pain than those who had conventional cold tonsillectomy [12]. Besides, a study done by Sobol et al comparing postoperative recovery after microdebrider intracapsular or monopolar electrocautery tonsillectomy showed no significant difference in the number of days taken for the resolution of pain or resumption of normal activity between the 2 groups, with the resumption of near-normal dietary intake being achieved 1.7 days earlier in patients receiving microdebrider intracapsular tonsillectomy compared with monopolar electrocautery tonsillectomy [13].…”

Section: Discussionsupporting

confidence: 57%

Comparison of Postoperative Pain and Appetite in Pediatric Patients Undergoing Monopolar Tonsillotomy and Cold Steel Tonsillectomy

Ahmad

Nehmé

Moukarzel

2020

International Journal of Otolaryngology

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Objectives. Adenotonsillectomy (AT) is amongst the most widely performed pediatric surgeries in the United States (US) and the whole world. AT includes two major surgical techniques: total tonsillectomy (TT) and partial tonsillectomy (PT). Several studies have been conducted to evaluate the difference between TT and PT and assess the comparative effectiveness, benefits, and sequelae between both. In Lebanon, very few studies were done tackling this issue and assessing its sequelae on the pediatric population. Methods. A prospective study was conducted including pediatric patients aged between 2 and 9 years, who were admitted for partial tonsillectomy (PT) or total tonsillectomy (TT) in 2018. An estimated number of children included were 50: 25 patients underwent PT and 25 patients underwent TT. Patients were sent home on day 1 post-op with a questionnaire that evaluates the following over the first 10 days post-op: pain using the Wong–Baker Faces Pain Rating Scale and the “Parents Postoperative Pain Measure” (PPPM) questionnaire, and appetite using the visual analogue scale (VAS). Results. Patients in the PT group and in the TT group had no demographical differences in terms of age, BMI, exposure to smoking, area of living, and attending a day care center. Comparison between PT and TT revealed a significant difference in both pain and appetite scales. Patients who underwent PT had significantly lower PPPM scores on the 1st, 2nd, 4th, 5th, 6th, and 10th day after surgery compared to the TT patients. Further validation was revealed by the Wong–Baker Faces Pain Rating Scale, showing that the PT surgery group experienced significantly less postoperative pain compared to the TT surgery group. Assessing the appetite using the visual analogue scale favored PT over TT. Comparisons revealed that most PT patients returned to their normal eating habits starting at day 4 while this was applicable in the TT group at day 10. Postoperative pain improved from day 1 to day 10 in both surgical groups. Conclusion. In conclusion, the recovery process after the PT surgery causes less postoperative morbidity, thus an earlier return to normal activity compared to the TT. The patients of the latter group are affected by more pain and less appetite over the first 10 days after the surgery.

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Section: Discussionsupporting

confidence: 57%

Comparison of Postoperative Pain and Appetite in Pediatric Patients Undergoing Monopolar Tonsillotomy and Cold Steel Tonsillectomy

Ahmad

Nehmé

Moukarzel

2020

International Journal of Otolaryngology

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“… * 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 …”

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confidence: 99%

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.

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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.

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Comparative Study of CO2 LASER Assisted and Electrocautery Assisted Tonsillectomy with Conventional Tonsillectomy

Bhankhodia

Aiyer

Raval

2021

Indian J Otolaryngol Head Neck Surg

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The Use of Bipolar Electrocautery Tonsillectomy in Patients with Pediatric Respiratory Tract Obstruction

Cited by 4 publications

References 26 publications

Comparison of Postoperative Pain and Appetite in Pediatric Patients Undergoing Monopolar Tonsillotomy and Cold Steel Tonsillectomy

Comparison of Postoperative Pain and Appetite in Pediatric Patients Undergoing Monopolar Tonsillotomy and Cold Steel Tonsillectomy

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

Comparative Study of CO2 LASER Assisted and Electrocautery Assisted Tonsillectomy with Conventional Tonsillectomy

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