JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2017, Vol. 31 ›› Issue (5): 67-71.doi: 10.6040/j.issn.1673-3770.0.2017.181

Previous Articles     Next Articles

Comparison of the efficacy of coblation, ultrasonic knife operation, and conventional tonsillectomy in a 2-year postoperative follow-up.

ZHANG Liqing, SONG Shenghua, WANG Yuan, LIU Xiaojing, DONG Weida, ZHOU Han   

  1. Department of Otolaryngology, The First Affiliated Hospital, Nanjing Medical University, Jiangsu Province Hospital, Nanjing 210029, Jiangsu, China
  • Received:2017-04-24 Online:2017-10-16 Published:2017-10-16

Abstract: Objective To study the efficacy of coblation, ultrasonic knife operation, and conventional tonsillectomy in patients in a 2-year postoperative follow-up. Methods With respect to the above-mentioned three types of operation methods, 86 patients were followed up for 6 months, 1 year, and 2 years after tonsillectomy, respectively. The postoperative tonsil residue size and mucosal inflammation, pharyngeal symptoms by assessing self-made questionnaire responses, and satisfaction information were evaluated. Result Upon 1- and 2-year postoperative follow-ups, the “superior pole of the tonsil residue” scores in the coblation and conventional groups were significantly lower than those in the ultrasonic knife operation group; and “pole of the tonsil residue” scores in the coblation and ultrasonic knife operation groups were also significantly lower than those in the conventional group. Upon 6-month postoperative follow-up, the scores of “dry pharynx” in the coblation and ultrasonic knife operation groups were more statistically significant than those in the conventional group. Upon 2-year postoperative follow-up, “satisfaction of information” scores in the coblation and ultrasonic knife groups were significantly higher than those in the conventional group, and “paresthesia pharynges” scores in the conventional group were more significant than those in the other groups. In addition, there were no significant differences among the three groups in the incidence rates of dry pharynx, mucosal inflammation, pharyngeal symptoms, sore throat, and lower respiratory tract infections upon 1- and 2-year postoperative follow-ups(P>0.05). Conclusion Compared with traditional methods, coblation has advantages related to a low incidence of postoperative tonsillar residue. By using coblation, postoperative dry pharynx symptoms are more likely to occur in a short time, throat discomfort symptoms are mild in the mid- to long-term, and the degree of patient satisfaction is high. Ultrasonic knife operations have similar advantages as coblation, but surgeons should pay more attention to the superior poles of the tonsils during operation and prevent tonsil residues.

Key words: Coblation, Sonication, Tonsillectomy, Follow-up

CLC Number: 

  • R766.7
[1] 张立庆,杨翠方,周华群,等.低温等离子刀、超声刀及传统方式行扁桃体切除术的比较[J].山东大学耳鼻喉眼学报,2016, 30(3):56-60. ZHANG Liqing, YANG Cuifang, ZHOU Huaqun, et al. Comparison of coblation,ultrasonic knife and conventional approach in tonsillectomy[J]. J Otolaryngol Ophthalmol Shandong Univ, 2016, 30(3):56-60.
[2] 陈曦. 甲状腺手术中热损伤预防[J]. 中国实用外科杂志,2012,32(5):369-372. CHEN Xi.The prevention of thermal injury in thyroidectomy[J].Chin J Pract Surg, 2012, 32(5):369-372.
[3] 庹华为,黄志纯,冯旭,等. 超声刀扁桃体切除术的临床病理研究[J]. 中国耳鼻咽喉头颈外科,2015,22( 5): 261-264. TUO Huawei, HUANG Zhichun, FENG Xu, et al. The clinical pathological study of ultrasonic knife tonsillectomy[J]. Chin Otolaryngol Head Neck Surg,2015, 22(5):261-264.
[4] Jones DT, Kenna MA, Guidi J, et al. Comparison of postoperative pain in pediatric patients undergoing coblation tonsillectomy versus cautery tonsillectomy?[J]. Otolaryngol Head Neck Surg, 2011, 144(6):972-977.
[5] Owaki T, Nakano S, Arimura K, et al. The ultrasonic coagulating and cutting system injures nerve function[J]. Endoscopy, 2002, 34(7):575-579.
[6] Elbadawey MR, Hegazy HM, Eltahan AE, et al. A randomised controlled trial of coblation, diode laser and cold dissection in paediatric tonsillectomy[J]. J Laryngol Otol, 2015, 129(11):1058-1063.
[7] Pang Y, Gong J, Huang J, et al. Coblation tonsillectomy under surgical microscopy: A retrospective study[J]. J Int Med Res, 2016, 44(4):923-930.
[8] 宋昱, 王丽, 李丽娟, 等. 扁桃体切除术后中远期疗效观察[J]. 临床耳鼻咽喉头颈外科杂志, 2011,25(19):879-881. SONG Yu, WANG Li, LI Lijuan, et al. Long term observation of the effectiveness after tonsillectomy [J]. J Clin Otorhinolaryngol Head Neck Surgery(China), 2011, 25(19):879-881.
[9] 余江萍. 扁桃体切除术中舌极处理的研究[J]. 现代医药卫生, 2012, 28(11):1654-1655. YU Jiangping. The treatment of tongue pole tonsil resection[J]. J Modern Med Health, 2012, 28(11):1654-1655.
[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] YANG Wei, ZHENG Li, XU Zhifei. Long-term follow-up study on non-invasive ventilation in children with moderate to severe [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 19-24.
[4] QIU Shuyao, LIU Dabo, ZHONG Jianwen, YANG Liqiang. Analysis of coblation complications in children with obstructive sleep apnea-hypopnea syndrome [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 34-37.
[5] HUO Hong, LI Wuyi, WANG Jian, YANG Dahai, JIN Xiaofeng, TIAN Xu, NIU Yanyan.. Treatment of pharyngeal stenosis following uvulopalatopharyngoplasty with coblation. [J]. J Otolaryngol Ophthalmol Shandong Univ, 2017, 31(6): 58-61.
[6] 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.
[7] . Coblation for benign hyperplasia of the tongue base. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(2): 83-84.
[8] 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.
[9] 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.
[10] 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.
[11] GONG Mingjie, LIU Kan, ZHANG Lei, YAN Biao, ZOU Jiaping, LI Weizhong. Comparison of the efficacy of three different techniques in tonsillectomy. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(1): 70-73.
[12] 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.
[13] HAN Naigang, LI Xiaohong. Coblation unilateral vocal cord transection with arytenoidenctomy in the treatment of bilateral vocal cord paralysis [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(3): 59-61.
[14] 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.
[15] ZHOU Jing-chun, KE Zhao-yang, MA Ling-guo, ZHANG Jing-jing, ZHANG Wei, FENG Chun-ying. Coblation and routine excision to treat epiglottic cysts [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(6): 43-46.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!