Comparative Study between Traditional Tonsillectomy and Tonsillectomy by Coblation | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 1, Volume 90, Issue 2, January 2023, Pages 2014-2019 PDF (299.77 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2023.285024 | ||
| Authors | ||
| Sabry Habashy Easa; Talaat Mahrous Farghaly; Ahmed Adel Elsherbeiny Abdelmawla | ||
| Abstract | ||
| Background: One of the most frequent surgical operations carried out globally is a tonsillectomy. Tonsillectomy is performed using a variety of methods that have been developed throughout time. In an effort to improve the procedure's safety and reduce postoperative morbidity and complications, many procedures have developed over time. Objective: The aim of the current study was to compare traditional tonsillectomy vs coblation tonsillectomy in terms of operation time, intraoperative blood loss, postoperative pain, and postoperative healing. Patients and methods: This prospective study included a total of 100 cases of chronic tonsillitis undergoing tonsillectomy (50 cases by traditional tonsillectomy and 50 cases by coblation tonsillectomy), attending at Outpatient Clinic, Department of ENT, Al-Azhar University Hospital, Assiut. This study was conducted between January 2021 to June 2022. Results: Considering operative time, there was statistically significant increase in the mean duration of operation (minutes) among the traditional tonsillectomy (26.86±6.59) in comparison with the coblation tonsillectomy group (14.16±2.96). This difference may be due to the immediate coagulation, and/or the immediate stopping of bleeding. Considering intraoperative blood loss there was statistically significant decrease in intraoperative hemorrhage among the coblation tonsillectomy group average (13 ml) in comparison with the traditional tonsillectomy group average (60ml). There was one case with reactionary hemorrhage in traditional group and none in coblation group. Regarding the self-satisfaction evaluation among the studied groups, the present study revealed a statistically non-significant difference in self-satisfaction among patients of the coblation tonsillectomy group. Conclusion: It could be concluded that coblation tonsillectomy is a safe technique. The traditional method still has its advantages being less costly and having less incidence of secondary hemorrhage and availability and tools are present almost in all hospitals primarily in the Egyptian Ministry of Health hospitals. | ||
| Keywords | ||
| Traditional tonsillectomy; Tonsillectomy by coblation; Postoperative pain; Blood loss | ||
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