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
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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
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.
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.
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.
Oomen KP, Modi VK, Stewart MG. Evidence-based practice: pediatric tonsillectomy. OtolaryngolClin North Am. 2012; 45(5): 1071-81.
Curtin JM ; The history of tonsil and adenoid surgery. OtolClin North Am20: 1987 , 415-419.
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
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]
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.
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]
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.
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.
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.
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.
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.
Pinder DK, Wilson H, Hilton MP. Dissection versus diathermy for tonsillectomy.Cochrane Database Syst Rev. 2011 Mar 16;(3):CD002211.
Warnock FF, Lander J ; Pain Progression, intensity and outcomes following tonsillectomy. Pain,; 1998 ,10, 75: 37-45.
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.
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.
Auf I, Osborne JE, Sparkes C, Khall H. Is the KTP laser effective in tonsillectomy? ClinOtolarygol 1997; 22: 145-46.
Ishlah LW, Fahmi AM, SrinoviantiN ;Laser versus dissection technique of tonsillectomy. Med J Malaysia; 2005, 60: 76-80.
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.