Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2021, Vol. 35 ›› Issue (2): 22-27.doi: 10.6040/j.issn.1673-3770.1.2020.087

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Comparison of coblation assisted tonsillectomy and tonsillotomy in children

SHEN Yao1, ZHOU Chengyong1   

  1. Department of Otorhinolaryngology & Head and Neck Surgery, 4th Medical Center of PLA General Hospital / College of Otorhinolaryngology & Head and Neck Surgery, Chinese PLA General Hospital / National Clinical Research Center for Otolaryngologic Diseases, Beijing 100048, China
  • Published:2021-04-20

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Abstract: Objective To compare the efficacy of coblation assisted tonsillectomy and tonsillotomy in the treatment of children with obstructive sleep apnea-hypopnea syndrome. Methods This was a retrospective review of 4 311 children who underwent adenoidectomy and coblation assisted tonsillectomy or tonsillotomy in our hospital from January 2004 to December 2018. The patients were divided into two groups according to the operation method performed along with adenoidectomy: coblation assisted tonsillectomy was performed in 358 patients in group A, and coblation assisted tonsillotomy was performed in 3953 patients in group B. The operation time, degree of postoperative pain, number of days taken to return to normal eating, and incidence of secondary hemorrhage were compared. After 1 year follow-up, the recurrence rate and sleep snoring and suffocation scores were compared between the two groups. Results The operation time(28.42±9.51 minutes), degree of postoperative pain(2.67±0.75), number of days taken to return to normal eating(7.15±2.56 days), and incidence of secondary hemorrhage(0.15%)in group B were lower than those in group A, and the differences were statistically significant(t=9.841, P<0.01; t=30.251, P<0.01; t=31.489, P<0.01; χ2=13.224, P<0.01). There was a significant difference in sleep snoring scores before and after the operation in both the groups(group A: χ2=570.251, P<0.01; group B: χ2=6 767.566, P<0.001). There was also a significant difference in the suffocation scores before and after the operation in both the groups(group A: χ2=622.465, P<0.01; group B: χ2=6 293.219, P<0.001), but there were no significant differences in sleep snoring and suffocation scores between the two groups(F=4.643, P=0.075; F=5.335, P=0.060). Additionally, there was no significant difference in recurrence rate between the two groups(χ2=0.009, P=0.925). Conclusion The curative effect of tonsillotomy is similar to that of tonsillectomy, but it can shorten the operation time, improve the patient's postoperative comfort and reduce the incidence of secondary bleeding.

Key words: Child, Coblation, Tonsillotomy, Tonsillectomy, Adenoidectomy, Sleep snoring, Sleep suffocation

CLC Number: 

  • R766.9
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