JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2016, Vol. 30 ›› Issue (1): 70-73.doi: 10.6040/j.issn.1673-3770.0.2015.345

Previous Articles     Next Articles

Comparison of the efficacy of three different techniques in tonsillectomy.

GONG Mingjie1, LIU Kan2, ZHANG Lei1, YAN Biao1, ZOU Jiaping1, LI Weizhong   

  1. 1. Department of Otolaryngology, Wuxi Third Peoples Hospital Affiliated to Medical School of Nantong University, Wuxi 214000, Jiangsu, China;2. Department of Otolaryngology, Pingdu Peoples Hospital Affiliated to Weifang Medical School, Pingdu 266700, Shandong, China
  • Received:2015-08-17 Online:2016-02-16 Published:2016-02-16

PDF (PC)

748

Abstract: Objective To compare the clinical efficacy of cold dissection, monopolar diathermy dissection and radiofrequency ablation in tonsillectomy. Methods Patients undergone tonsillectomy were divided into 3 groups: cold dissection + suture group(group A, n=65), unipolar electric coagulation resection group(group B, n=40), plasma radiofrequency resection group(group C, n=38). The operation time, intraoperative blood loss, pain score, and postoperative albuginea of all groups were recorded and compared. Results The average operation time and intraoperative blood loss of group A, B and C were(58.8, 27.0 and 23.7)min,(34.2, 16.1 and 12.5)mL, respectively. There was significant difference in postoperative pain score 3 hour and 1 day after surgery. Conclusion Compared with cold dissection and monopolar diathermy dissection, radiofrequency ablation is more expansive, but it needs shorter operation time and causes less intraoperative bleeding and pain.

Key words: Unipolar coagulation resection, Plasma radiofrequency, Tonsillectomy

CLC Number: 

  • R766.9
[1] Brigger M T, Cunningham M J, Hartnick C J. Dexamethasone administration and postoperative bleeding risk in children undergoing tonsillectomy[J]. Arch Otolaryngol Head Neck Surg, 2010, 136(8):766-772.
[2] Ozkiri??塂 M, Kapusuz Z, Saydam L. Comparison of three techniques in adult tonsillectomy[J]. Eur Arch Otorhinolaryngol, 2013, 270(3):1143-1147.
[3] 祝江才, 金斌, 林晓, 等. 电凝法扁桃体切除术180例[J]. 山东大学耳鼻喉眼学报, 2010, 24(2):57-59. ZHU Jiangcai, JIN Bin, LIN Xiao, et al. Electro-coagulation tonsillectomy(a report of 180 cases)[J]. J Otolaryngol Ophthalmol Shandong Univ, 2010, 24(2):57-59.
[4] Stavroulaki P, Skoulakis C, Theos E, et al. Thermal welding versus cold dissection tonsillectomy: a prospective, randomized, single-blind study in adult patients[J]. Ann Otol Rhinol Laryngol, 2007, 116(8):565-570.
[5] Allford M, Guruswamy V. A national survey of the anesthetic management of tonsillectomy surgery in children[J]. Paediatr Anaesth, 2009(19):145-152.
[6] Fayoux P, Wood C. Non-pharmacological treatment of post-tonsillectomy pain [J]. Eur Ann Otorhinolaryngol Head Neck Dis, 2014, 131(4):239-241.
[7] Allford M, Guruswamy V. A national survey of the anesthetic management of tonsillectomy surgery in children[J]. Paediatr Anaesth, 2009, 19(2):145-152.
[8] Aksoy E A, Serin G M, Polat S. Comparison of postoperative bleeding between submucosal uvulopalatopharyngoplasty and tonsillectomy[J]. J Res Med Sci, 2014, 19(4):310-313.
[9] 蔡朝阳,郑刚,许小龙. 扁桃体电切术后出血分度与相关因素研究[J]. 中国医药导报, 2014, 11(8):62-65. CAI Zhaoyang, ZHENG Gang, XU Xiaolong. Study of maginitude and related factors of post-tonsillectomy hemorrhage by high-frequency electric surgical knife[J]. Chin Med Herald, 2014, 11(8):62-65.
[10] 侯瑾, 王波涛, 闫静, 等. 儿童扁桃体、腺样体低温等离子切除术后出血的临床研究[J]. 山东大学耳鼻喉眼学报, 2013, 27(2):52-55. HOU Jin, WANG Botao, YAN Jing, et al. Hemorrhage following coblation-assisted tonsillectomy and adenoidectomy in children[J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(2):52-55.
[1] LI Yanzhong, ZHANG Tai. Problems we face in children with obstructive sleep apnea hypopnea syndrome [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 1-5.
[2] XU Zhifei, NI Xin. Post-surgery management in children with obstructive sleep apnea syndrome [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 9-13.
[3] ZHANG Liqing, SONG Shenghua, WANG Yuan, LIU Xiaojing, DONG Weida, ZHOU Han. Comparison of the efficacy of coblation, ultrasonic knife operation, and conventional tonsillectomy in a 2-year postoperative follow-up. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(5): 67-71.
[4] ZHANG Jie, CHEN Xuemei, XU Anting. A comparative analysis of harmonic scalpel tonsillectomy and coblation tonsillectomy. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(5): 95-100.
[5] . Application of inferior nasal concha sequential surgery in the treatment of chronic hypertrophic rhinitis. [J]. J Otolaryngol Ophthalmol Shandong Univ, 2017, 31(2): 62-66.
[6] XU Lei, ZHU Juanfen, CHENG Lei. Comparison of three surgical methods in adult patients undergoing tonsillectomy. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(6): 49-52.
[7] WANG Lei, LOU Feng, ZHANG Yuan, ZHAO Xin. Effect of different doses of dexmedetomidine preoperative intranasal medication on the safety in children tonsillectomy. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(5): 115-119.
[8] ZHANG Liqing, YANG Cuifang, ZHOU Huaqun, LU Meiping, DONG Weida. Comparison of coblation, ultrasonic knife and conventional approach in tonsillectomy. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(3): 56-60.
[9] DONG Shiliang, ZHAN Mingming. Hemostatic effect of preventive suture ligation in tonsillectomy [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(6): 90-91.
[10] LI Jun-zheng, GAO Xiang, WU Gai-zhen, CHEN Sha, WANG Jie, TIAN Wen-dong, LI Xiang-ping. Application of harmonic scalpel in children with obstructive sleep apnea and hyponea syndrome [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(1): 1-4.
[11] ZHANG Jie, LI Jin-rang, LIU Tao. Pain evaluation with surface electromyogram in patients after tonsillectomy [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(6): 57-60.
[12] WU Yun-gang1, LIU Li-ming2， SONG Jian-mei3， PANG Tai-zhong1， LI Xiao-yu1， ZHANG Hui1， YANG Xin-xin1, DING De-tao1， ZHANG Yong-hong1 .etc. Tonsillectomy with monopolar cautery under general anesthesia (90 cases report) [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(6): 74-76.
[13] LUO Hui-xiu, FAN Chun-tao, DENG Yan-hua. Therapeutic effects of adenoidectomy and tonsillectomy in children with obstructive sleep apnea hypopnea syndrome [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(4): 17-20.
[14] CHEN Xi, LI Jin-rang. Partial radiofrequency ablation tonsillectomy for children with OSAHS [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(3): 1-3.
[15] TENG Yi-shu， LI Lan， LIANG Zhen-jiang， XIAN Zhi-xiong， HAN Sai-hong， ZHANG De-lun. Effects of monopolar electrocautery and traditional tonsillectomy in treatment of OSAHS [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(3): 7-9.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd