Postoperative Pain After Tonsillectomy; Comparison Between CO2 Laser Versus Conventional Dissection Tonsillectomy
Journal of Surgery
Volume 3, Issue 2-1, March 2015, Pages: 27-30
Received: Feb. 7, 2015; Accepted: Feb. 13, 2015; Published: May 9, 2015
Views 5115      Downloads 103
Authors
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
Article Tools
Follow on us
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.
Keywords
Tonsillectomy, Conventional, Laser, Pain, Randomized Controlled Trial
To cite this article
Fahd Ali Alharbi, Mohamed Rifaat Ahmed, Postoperative Pain After Tonsillectomy; Comparison Between CO2 Laser Versus Conventional Dissection Tonsillectomy, Journal of Surgery. Special Issue: Postoperative Pain Syndrome. Vol. 3, No. 2-1, 2015, pp. 27-30. doi: 10.11648/j.js.s.2015030201.16
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.
ADDRESS
Science Publishing Group
1 Rockefeller Plaza,
10th and 11th Floors,
New York, NY 10020
U.S.A.
Tel: (001)347-983-5186