Postoperative Pain After Tonsillectomy; Comparison Between CO2 Laser Versus Conventional Dissection Tonsillectomy

Fahd Ali Alharbi; Mohamed Rifaat Ahmed

doi:doi:10.11648/j.js.s.2015030201.16

| Peer-Reviewed

Postoperative Pain After Tonsillectomy; Comparison Between CO2 Laser Versus Conventional Dissection Tonsillectomy

Fahd Ali Alharbi, Mohamed Rifaat Ahmed

Published in Journal of Surgery (Volume 3, Issue 2-1)

Received: 7 February 2015 Accepted: 13 February 2015 Published: 9 May 2015

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

Background:Postoperative pain after tonsillectomy is a great problem that the ideal tonsillectomy operation should have little or no morbidity or mortality with excellent outcome. Aim of the study:To compare the outcome of postoperative pain with two different methods of tonsillectomy, conventional dissection Tonsillectomy versus CO2 laser assisted tonsillectomy procedure. Method:Randomized clinical trial was done on 126 adult patients with chronic recurrent tonsillitis that underwent tonsillectomies operation divided into two groups. Group A (n=63) subjected to Conventional dissection tonsillectomy .Group B (n=63) subjected to CO2 Laser assisted tonsillectomy. Results: There was no statistically significant difference between patients in both groups with regard to mean VAS forpain starting from day 0 to day 10after initiation of treatment .Mean VAS for post tonsillectomypain in both groups revealed that at the end of day 10, pain was completely absent in both groups. Conclusion:Conventional dissection Tonsillectomy is almost similar to CO2 Laser assisted tonsillectomy operation in post operative pain and patient's quality of life but Laser-assisted tonsillectomy has shown to have shortened in the operative time with reduces the blood loss.

Published in	Journal of Surgery (Volume 3, Issue 2-1) This article belongs to the Special Issue Postoperative Pain Syndrome
DOI	10.11648/j.js.s.2015030201.16
Page(s)	27-30
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Tonsillectomy, Conventional, Laser, Pain, Randomized Controlled Trial

References

[1]	Sharma K, Kumar D. Ligation versus bipolar diathermy for hemostasis in tonsillectomy: a comparative study. Indian J Otolaryngol Head Neck Surg.2011 ;63(1):15-9.
[2]	Oomen KP, Modi VK, Stewart MG. Evidence-based practice: pediatric tonsillectomy. OtolaryngolClin North Am. 2012; 45(5): 1071-81.
[3]	Curtin JM ; The history of tonsil and adenoid surgery. OtolClin North Am20: 1987 , 415-419.
[4]	Fayoux P, Wood C. Non-pharmacological treatment of post-tonsillectomy pain.Eur Ann Otorhinolaryngol Head Neck Dis. 2014;4. pii: S1879-7296(14)00098-2
[5]	Tugrul S, Degirmenci N, Eren SB, Dogan R, Veyseller B, Ozturan O. Analgesic effect of magnesium in post-tonsillectomy patients: a prospective randomised clinical trial.Eur Arch Otorhinolaryngol. 2014 Aug 6.[ Repeated as reference 16]
[6]	Sharma K, Kumar D. Ligation versus bipolar diathermy for hemostasis in tonsillectomy: a comparative study. Indian J Otolaryngol Head Neck Surg. 2011 Jan;63(1):15-9.
[7]	Gofman VR, Kniaz'kov VB. [The application of a CO(2)-laser for tonsillectomy in the patients presenting with chronic decompensated tonsillitis as an alternative to the traditional methods of surgical treatment]. [Article in Russian]
[8]	Setabutr D, Adil EA, Chaikhoutdinov I, Carr MM. Impact of the pediatric tonsillectomy and polysomnography clinical practice guidelines. Int J Pediatr Otorhinolaryngol. 2014 Mar;78(3):517-21.
[9]	Sargi Z, Younis RT. Tonsillectomy and adenoidectomy techniques: past, present and future.ORL J Otorhinolaryngol Relat Spec. 2007;69(6):331-5. Epub 2007 Nov 23.
[10]	Jiang Z, Wang J, Dong C, Liang C, Fu Q, Liu G, Yin J, Zhang Z. [Clinical study of carbon dioxide laser tonsillectomy].[Article in Chinese] Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2010 Feb;24(3):119-21.
[11]	SFORL work group, Paganelli A, Ayari Khalfallah S, Brunaud A, Constant I, Deramoudt V, Fayoux P,et al; Guidelines (short version) of the French Oto-Rhino-Laryngology - Head and Neck Surgery Society (SFORL) for the management of post-tonsillectomy pain in adults. Eur Ann Otorhinolaryngol Head Neck Dis. 2014 Aug 5. pii: S1879-7296(14)00095-7.
[12]	Rakesh S, Anand TS, Payal G, Pranjal K. A Prospective, Randomized, Double-Blind Study of Coblation versus Dissection Tonsillectomy in Adult Patients.Indian J Otolaryngol Head Neck Surg. 2012 Sep;64(3):290-4.
[13]	Pinder DK, Wilson H, Hilton MP. Dissection versus diathermy for tonsillectomy.Cochrane Database Syst Rev. 2011 Mar 16;(3):CD002211.
[14]	Warnock FF, Lander J ; Pain Progression, intensity and outcomes following tonsillectomy. Pain,; 1998 ,10, 75: 37-45.
[15]	Sezen OS, Kaytanci H, Kubilay U, Coskuner T, Unver S. Comparison between tonsillectomy with thermal welding and the conventional 'cold' tonsillectomy technique.ANZ J Surg. 2008 Nov;78(11):1014-8.
[16]	Tugrul S, Degirmenci N, Eren SB, Dogan R, Veyseller B, Ozturan O. Analgesic effect of magnesium in post-tonsillectomy patients: a prospective randomised clinical trial.Eur Arch Otorhinolaryngol. 2014 Aug 6.
[17]	Auf I, Osborne JE, Sparkes C, Khall H. Is the KTP laser effective in tonsillectomy? ClinOtolarygol 1997; 22: 145-46.
[18]	Ishlah LW, Fahmi AM, SrinoviantiN ;Laser versus dissection technique of tonsillectomy. Med J Malaysia; 2005, 60: 76-80.
[19]	Unkel C, Lehnerdt G, Schmitz KJ, Jahnke K. Laser-tonsillotomy for treatment of obstructive tonsillar hyperplasia in early childhood: a retrospective review.Int J Pediatr Otorhinolaryngol. 2005 Dec;69(12):1615-20. Epub 2005 Sep 26.

Cite This Article

Plain Text BibTeX RIS

APA Style

Fahd Ali Alharbi, Mohamed Rifaat Ahmed. (2015). Postoperative Pain After Tonsillectomy; Comparison Between CO2 Laser Versus Conventional Dissection Tonsillectomy. Journal of Surgery, 3(2-1), 27-30. https://doi.org/10.11648/j.js.s.2015030201.16

Copy | Download

ACS Style

Fahd Ali Alharbi; Mohamed Rifaat Ahmed. Postoperative Pain After Tonsillectomy; Comparison Between CO2 Laser Versus Conventional Dissection Tonsillectomy. J. Surg. 2015, 3(2-1), 27-30. doi: 10.11648/j.js.s.2015030201.16

Copy | Download

AMA Style

Fahd Ali Alharbi, Mohamed Rifaat Ahmed. Postoperative Pain After Tonsillectomy; Comparison Between CO2 Laser Versus Conventional Dissection Tonsillectomy. J Surg. 2015;3(2-1):27-30. doi: 10.11648/j.js.s.2015030201.16

Copy | Download

@article{10.11648/j.js.s.2015030201.16,
  author = {Fahd Ali Alharbi and Mohamed Rifaat Ahmed},
  title = {Postoperative Pain After Tonsillectomy; Comparison Between CO2 Laser Versus Conventional Dissection Tonsillectomy},
  journal = {Journal of Surgery},
  volume = {3},
  number = {2-1},
  pages = {27-30},
  doi = {10.11648/j.js.s.2015030201.16},
  url = {https://doi.org/10.11648/j.js.s.2015030201.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.s.2015030201.16},
  abstract = {Background:Postoperative pain after tonsillectomy is a great problem that the ideal tonsillectomy operation should have little or no morbidity or mortality with excellent outcome. Aim of the study:To compare the outcome of postoperative pain with two different methods of tonsillectomy, conventional dissection Tonsillectomy versus CO2 laser assisted tonsillectomy procedure. Method:Randomized clinical trial was done on 126 adult patients with chronic recurrent tonsillitis that underwent tonsillectomies operation divided into two groups. Group A (n=63) subjected to Conventional dissection tonsillectomy .Group B (n=63) subjected to CO2 Laser assisted tonsillectomy. Results: There was no statistically significant difference between patients in both groups with regard to mean VAS forpain starting from day 0 to day 10after initiation of treatment .Mean VAS for post tonsillectomypain in both groups revealed that at the end of day 10, pain was completely absent in both groups. Conclusion:Conventional dissection Tonsillectomy is almost similar to CO2 Laser assisted tonsillectomy operation in post operative pain and patient's quality of life but Laser-assisted tonsillectomy has shown to have shortened in the operative time with reduces the blood loss.},
 year = {2015}
}

Copy | Download

TY  - JOUR
T1  - Postoperative Pain After Tonsillectomy; Comparison Between CO2 Laser Versus Conventional Dissection Tonsillectomy
AU  - Fahd Ali Alharbi
AU  - Mohamed Rifaat Ahmed
Y1  - 2015/05/09
PY  - 2015
N1  - https://doi.org/10.11648/j.js.s.2015030201.16
DO  - 10.11648/j.js.s.2015030201.16
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 27
EP  - 30
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.s.2015030201.16
AB  - Background:Postoperative pain after tonsillectomy is a great problem that the ideal tonsillectomy operation should have little or no morbidity or mortality with excellent outcome. Aim of the study:To compare the outcome of postoperative pain with two different methods of tonsillectomy, conventional dissection Tonsillectomy versus CO2 laser assisted tonsillectomy procedure. Method:Randomized clinical trial was done on 126 adult patients with chronic recurrent tonsillitis that underwent tonsillectomies operation divided into two groups. Group A (n=63) subjected to Conventional dissection tonsillectomy .Group B (n=63) subjected to CO2 Laser assisted tonsillectomy. Results: There was no statistically significant difference between patients in both groups with regard to mean VAS forpain starting from day 0 to day 10after initiation of treatment .Mean VAS for post tonsillectomypain in both groups revealed that at the end of day 10, pain was completely absent in both groups. Conclusion:Conventional dissection Tonsillectomy is almost similar to CO2 Laser assisted tonsillectomy operation in post operative pain and patient's quality of life but Laser-assisted tonsillectomy has shown to have shortened in the operative time with reduces the blood loss.
VL  - 3
IS  - 2-1
ER  -

Copy | Download

Author Information

Fahd Ali Alharbi

Department of Otolaryngology- Head and Neck Surgery, Faculty of Medicine, jazan University, Jazan, Saudi Arabia
Mohamed Rifaat Ahmed

Department of Otolaryngology-Head and Neck Surgery, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Fahd Ali Alharbi, Mohamed Rifaat Ahmed. (2015). Postoperative Pain After Tonsillectomy; Comparison Between CO2 Laser Versus Conventional Dissection Tonsillectomy. Journal of Surgery, 3(2-1), 27-30. https://doi.org/10.11648/j.js.s.2015030201.16

Copy | Download

ACS Style

Fahd Ali Alharbi; Mohamed Rifaat Ahmed. Postoperative Pain After Tonsillectomy; Comparison Between CO2 Laser Versus Conventional Dissection Tonsillectomy. J. Surg. 2015, 3(2-1), 27-30. doi: 10.11648/j.js.s.2015030201.16

Copy | Download

AMA Style

Fahd Ali Alharbi, Mohamed Rifaat Ahmed. Postoperative Pain After Tonsillectomy; Comparison Between CO2 Laser Versus Conventional Dissection Tonsillectomy. J Surg. 2015;3(2-1):27-30. doi: 10.11648/j.js.s.2015030201.16

Copy | Download

@article{10.11648/j.js.s.2015030201.16,
  author = {Fahd Ali Alharbi and Mohamed Rifaat Ahmed},
  title = {Postoperative Pain After Tonsillectomy; Comparison Between CO2 Laser Versus Conventional Dissection Tonsillectomy},
  journal = {Journal of Surgery},
  volume = {3},
  number = {2-1},
  pages = {27-30},
  doi = {10.11648/j.js.s.2015030201.16},
  url = {https://doi.org/10.11648/j.js.s.2015030201.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.s.2015030201.16},
  abstract = {Background:Postoperative pain after tonsillectomy is a great problem that the ideal tonsillectomy operation should have little or no morbidity or mortality with excellent outcome. Aim of the study:To compare the outcome of postoperative pain with two different methods of tonsillectomy, conventional dissection Tonsillectomy versus CO2 laser assisted tonsillectomy procedure. Method:Randomized clinical trial was done on 126 adult patients with chronic recurrent tonsillitis that underwent tonsillectomies operation divided into two groups. Group A (n=63) subjected to Conventional dissection tonsillectomy .Group B (n=63) subjected to CO2 Laser assisted tonsillectomy. Results: There was no statistically significant difference between patients in both groups with regard to mean VAS forpain starting from day 0 to day 10after initiation of treatment .Mean VAS for post tonsillectomypain in both groups revealed that at the end of day 10, pain was completely absent in both groups. Conclusion:Conventional dissection Tonsillectomy is almost similar to CO2 Laser assisted tonsillectomy operation in post operative pain and patient's quality of life but Laser-assisted tonsillectomy has shown to have shortened in the operative time with reduces the blood loss.},
 year = {2015}
}

Copy | Download

TY  - JOUR
T1  - Postoperative Pain After Tonsillectomy; Comparison Between CO2 Laser Versus Conventional Dissection Tonsillectomy
AU  - Fahd Ali Alharbi
AU  - Mohamed Rifaat Ahmed
Y1  - 2015/05/09
PY  - 2015
N1  - https://doi.org/10.11648/j.js.s.2015030201.16
DO  - 10.11648/j.js.s.2015030201.16
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 27
EP  - 30
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.s.2015030201.16
AB  - Background:Postoperative pain after tonsillectomy is a great problem that the ideal tonsillectomy operation should have little or no morbidity or mortality with excellent outcome. Aim of the study:To compare the outcome of postoperative pain with two different methods of tonsillectomy, conventional dissection Tonsillectomy versus CO2 laser assisted tonsillectomy procedure. Method:Randomized clinical trial was done on 126 adult patients with chronic recurrent tonsillitis that underwent tonsillectomies operation divided into two groups. Group A (n=63) subjected to Conventional dissection tonsillectomy .Group B (n=63) subjected to CO2 Laser assisted tonsillectomy. Results: There was no statistically significant difference between patients in both groups with regard to mean VAS forpain starting from day 0 to day 10after initiation of treatment .Mean VAS for post tonsillectomypain in both groups revealed that at the end of day 10, pain was completely absent in both groups. Conclusion:Conventional dissection Tonsillectomy is almost similar to CO2 Laser assisted tonsillectomy operation in post operative pain and patient's quality of life but Laser-assisted tonsillectomy has shown to have shortened in the operative time with reduces the blood loss.
VL  - 3
IS  - 2-1
ER  -

Copy | Download