Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2019, Vol. 33 ›› Issue (4): 92-95.doi: 10.6040/j.issn.1673-3770.0.2018.400

Previous Articles     Next Articles

Clinical efficacy of the pharyngopalatine arch muscle mucosal flap for tonsillectomy wound closure after plasma surgery

HUANG Jiyi1, LI Baizi1, WU Shunong1, LÜ Zhenghua2   

  1. Department of Head and Neck Surgery, Shandong Provincial Hospital of Otolaryngology, Jinan 250022, Shandong, China
  • Online:2019-07-20 Published:2019-07-22

PDF (PC)

323

Abstract: Objective We aimed to improve the procedure of tonsillectomy by plasma resection and analyze the improvement of the curative effect after tonsil plasma surgery with wound closure using the pharyngopalatine arch muscle mucosal flap. Methods Patients who underwent tonsillectomy were randomly divided into two groups. Conventional tonsillectomy was performed in 105 cases, whereas partially separated pharyngopalatine arch muscle mucosal flap placement was performed after tonsillectomy in 94 cases to close the tonsillar fossa. Data on postoperative pain, wound healing, and bleeding were analyzed and compared between the two groups. Results During the first 7 days after operation, pain severity was significantly less in the experiment group than in the control group. The differences in wound healing and postoperative bleeding rates between the experiment and control groups were also statistically significant. Conclusion Operation using a pharyngeal muscle mucosal flap to close the tonsil plasma is easy and can reduce postoperative pain, promote wound healing, and reduce the risk of surgical wound bleeding.

Key words: Plasma, Tonsillectomy, Palatopharyngeal arch, Musculomucosal flap, Complication

CLC Number: 

  • R766.9
[1] Duarte VM, Liu YF, Shapiro NL. Coblation total tonsillectomy and adenoidectomy versus coblation partial intracapsular tonsillectomy and adenoidectomy in children [J]. Laryngoscope, 2014, 124(8):1959-1964. doi:10.1002/lary.24632.
[2] Elbadawey MR, Hegazy HM, Eltahan AE, et al. A randomised controlled trial of coblation, diode laser and cold dissection in paediatric tonsillectomy[J]. Laryngol Otol, 2015, 129(11):1058-1063. doi:10.1017/S0022215115002376.
[3] Rogers MA, Frauenfelder C, Woods C, et al. Bleeding following coblation tonsillectomy: a 10-year, single-surgeon audit and modified grading system[J]. Laryngol Otol, 2015, 129(suppl 1):S32-37. doi:10.1017/S0022215114002138.
[4] 江春容, 胡斌, 雍军, 等. 低温等离子射频消融术切除扁桃体的安全性及可行性Meta分析[J]. 中国耳鼻咽喉头颈外科, 2014, 21(11): 604-610. JIANG Chunrong, HU Bin, YONG Jun, et al. Safety and feasibility of coblation assisted tonsillectomy: a meta-analysis[J]. Chinese Archives of Otolaryngology-Head and Neck Surgery, 2014, 21(11): 604-610.
[5] 田天捷,周意,刘忠,等. 低温等离子术后假膜脱落的临床讨论 [J]. 临床耳鼻咽喉头颈外科杂志,2014,28(13):986-989. doi:10.13201/j.issn.1001-1781.2014.13.019. TIAN Tianjie, ZHOU Yi, LIU Zhong, et al. Reflection on the exfoliation of the tunic albuginea after the low-temperature plasma operation [J]. J Clin Otorhinolaryngol Head Neck Surg(China), 2014,28(13):986-989. doi:10.13201/j.issn.1001-1781.2014.13.019.
[6] 刘大波, 谭宗瑜, 钟建文, 等. 儿童扁桃体腺样体低温等离子手术迟发性出血的初步研究[J]. 中华耳鼻咽喉头颈外科杂志, 2010, 45(5): 373-376. doi:10.3760/cma.j.issn.1673-0860.2010.05.006. LIU Dabo, TAN Zongyu, ZHONG Jianwen, et al. A prelminary study of the secondary postoperative haemorrhage in pediatric coblation adenotonsillectomy[J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 2010, 45(5): 373-376. doi:10.3760/cma.j.issn.1673-0860.2010.05.006.
[7] Allareddy V, Martinez-Schlurmann N, Rampa S, et al. Predictora of complcations of tonsillectomy with or without adenoidectomy in hospitalized children and adolescents in the united states, 2001-2010:apopulation-based study [J]. Clin Pediatr(Phila), 2016. 55(7):593-602. doi:10.1177/0009922815616885.
[8] 李鹏程,古丽扎达·沙哈提. 扁桃体剥离切除术缝合部分咽腭弓黏膜临床经验.[J]. 中国继续医学教育, 2015,7(20);138-139. doi:10.3969/j.issn.1674-9308.2015.20.102. LI Pengcheng, Gulzadar·Sahati. Study of suturing part of pharyngopalatine arch mucosa after tonsillectomy.[J] China Continuing Medical Education. 2015,7(20):138-139. doi: 10.3969/j.issn.1674-9308.2015.20.102.
[9] 张宝林, 郭睿, 龚维熙, 等. 软腭、舌根舌体低温等离子消融配合咽黏膜减张缝合治疗阻塞性睡眠呼吸暂停低通气综合征[J]. 山东大学耳鼻喉眼学报, 2015, 29(5): 19-22. doi: 10.6040/j.issn.1673-3770.0.2015.319. ZHANG Baolin, GUO Rui, GONG Weixi, et al. Reducing the volume of soft palate and tongue with low-temperature plasma combined with pharyngeal mucosal relaxation suture in patients with obstructive sleep apnea hypopnea syndrome[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2015, 29(5): 19-22. doi: 10.6040/j.issn.1673-3770.0.2015.319.
[10] 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. doi:10.6040/j.issn.1673-3770.0.2016.123. Comparison of coblation, ultrasonic knife and conventional approach in tonsillectomy[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2016, 30(3): 56-60. doi:10.6040/j.issn.1673-3770.0.2016.123.
[11] 徐磊, 朱鹃芬, 程雷. 成年人扁桃体切除术三种手术方式的临床比较[J]. 山东大学耳鼻喉眼学报, 2016, 30(6): 49-52,57.doi:10/6040/1673-3770.0.2016.401. XU Lei, ZHU Juanfen, CHENG Lei. Comparison of three surgical methods in adult patients undergoing tonsillectomy[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2016, 30(6): 49-52,57.doi:10/6040/1673-3770.0.2016.401.
[12] 张立庆, 宋圣花, 王愿, 等. 低温等离子刀、超声刀及传统方式行扁桃体切除术的术后两年随访比较[J]. 山东大学耳鼻喉眼学报, 2017, 31(5): 67-71. doi:10.6040/j.issn.1673-3770.0.2017.181. ZHANG Liqing, SONG Shenghua, WANG Yuan, et al. Comparison of the efficacy of coblation, ultrasonic knife operation, and conventional tonsillectomy in a 2-year postoperative follow-up[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2017, 31(5): 67-71. doi:10.6040/j.issn.1673-3770.0.2017.181.
[1] WANG Panpan. Effects of a quality control circle-based discharge plan on rehabilitation after ear deformity reconstruction [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(4): 165-168.
[2] Qianhui QIU,Zhuo CHEN. Endoscopic surgery for the treatment of locally advanced nasopharyngeal carcinoma and serious complications after radiotherapy [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(2): 17-20.
[3] Zhenlin WANG,Junqi LIU. Protection of the internal carotid artery during surgery for nasopharyngeal carcinoma [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(2): 21-25.
[4] Rui CHEN,Jieen LI. Treatment of radiation-induced carcinoma in patients with nasopharyngeal carcinoma [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(2): 31-34.
[5] XU Xia, DENG Wenting, HUANG Chengzhi, CHEN Yongting, WANG Jian. Curative effect analysis of endoscopic laryngeal surgery with plasma radiofrequency ablation versus open surgery to treat early glottic cancer [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(2): 81-85.
[6] LIU Jianbo, ZHANG Huan. Phacoemulsification combined with intravitreal ranibizumab or triamcinolone acetonide injection for the treatment of cataract accompanied by diabetic macular edema [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(2): 99-104.
[7] JIANG Xiuying, LI Yuanbin. Clinical analysis of posterior intraocular lens dislocation [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(2): 105-110.
[8] ZHANG Ruxiang, TIAN Hao, MA Youxiang. Computed tomography assessment of skull base height before endoscopic sinus surgery [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 75-77.
[9] TIAN Zenghua. Clinical study of endoscopic nasal vestibular cyst unroofing and low-temperature plasma for the treatment of nasal vestibular cysts while excluding the septal wall [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 86-89.
[10] 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.
[11] 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.
[12] 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.
[13] 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.
[14] 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.
[15] 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.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(1): 84 -87 .
[2] NIU Shanli,CHAI Maowen,LI Zhenxiu . Endoscopic rhinoplasty of inferior turbinate in 60 patients with chronic hypertrophic rhinitis[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(1): 16 -18 .
[3] MENG Qing-guo,LU Yong-tian,FAN Xian-liang .

Association of killer cell immunoglobulin-like receptor gene polymorphisms with nasopharyngeal carcinoma

[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 196 -199 .
[4] . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 199 -199 .
[5] WAN Li-jia,LU Hai-tao,JIANG Yi-dao,LIU Hui,LI Qin,SHE La-zhi . Effect of H-uvulopalatopharyngoplasty on obstructive sleep apnea
hypopnea syndrome[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 204 -205 .
[6] . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 222 -224 .
[7] JI Xiao-bin,DENG Jia-de,ZANG Lin-quan,WANG Lei,XIE Jun . Blood histamine in guinea pigs with allergic rhinitis[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 228 -230 .
[8] XIANG Deng,LU Yong-tian,SUN Huan-ji . Endoscopic repair for cerebrospinal fluid rhinorrhea in 19 cases and a literature review [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 234 -236 .
[9]
YIN Guo-hua,ZHONG Xiao . Long-term effect of laser reduction on lingua adenoids
[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 280 -282 .
[10] LIU Lian-he . Clinical analysis of 21 cases of neck cut injury[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 283 -284 .
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