A Prospective Randomized Single‐Blind Trial Comparing Ultrasonic Scalpel Tonsillectomy with Tonsillectomy by Blunt Dissection in a Pediatric Age Group

Oko, Michael; Ganly, Ian; Loughran, Sean; Clement, W A; Young, David; Geddes, N.K.

doi:10.1016/j.otohns.2005.08.002

Cited by 36 publications

(31 citation statements)

References 15 publications

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“…In a prospective randomized study conducted on adult patients by Parsons et al (2006), radiofrequency tonsillectomy has been reported to decrease postoperative pain compared to electro cautery. In a single-blind randomized study by Oko et al (2005) on pediatric patients, pain after tonsillectomy with blunt dissection was found to be significantly less than tonsillectomy with ultrasonic blades. In the study by Yilmaz et al (2012) on 91 pediatric patients, postoperative pain with thermal welding has been found to be less.…”

Section: Discussionmentioning

confidence: 96%

Comparison of Cold Technique Tonsillectomy and Thermal Welding Tonsillectomy at Different Age Groups

et al. 2017

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26) Prague Medical Report / Vol. 118 (2017) Key words: Tonsillectomy -Thermal welding -Cold technique -Postoperative painAbstract: The aim of this study is to compare objectively advantages and disadvantages of cold technique tonsillectomy and thermal welding tonsillectomy at the same case. A total of 100 patients, 53 patients younger than 12 years of age and 47 patients elder than 12 years of age, were included in this study. Tonsillectomy was performed by using cold technique on the right side of the palatine tonsils and thermal welding on the left side. Right and left sides were compared regarding perioperative bleeding, surgical dissection time, postoperative pain scale at the 1 st and 7 th day and postoperative bleeding parameters. Perioperative bleeding was found to be higher in cold technique side in patients younger than 12 years of age (p<0.001). Postoperative pain score on the day 1 was significantly higher in cold technique side, whereas it was found to be higher in thermal welding side at postoperative day 7 (p<0.001). Perioperative bleeding was found to be significantly higher in cold technique side (p<0.001) and surgical dissection time of thermal welding was found to be longer (p<0.001) in patients elder than 12 years of age. Postoperative pain score at the day 1 and day 7 was found to be higher in thermal welding side (p<0.001). Postoperative pain score at the day 1 and day 7 were statistically significantly higher in patients elder than 12 years of age. As a result, both techniques have its unique superior aspects and both can be applied as a routine tonsillectomy technique.

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Section: Discussionmentioning

confidence: 96%

Comparison of Cold Technique Tonsillectomy and Thermal Welding Tonsillectomy at Different Age Groups

et al. 2017

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“…Although operating time and blood loss were reduced considerably by the use of electrocautery, postoperative pain remained a significant morbidity [4]. In recent years, several new techniques for tonsillectomy have been proposed such as, harmonic ultrasonic scalpel, coblator, laser or radiofrequency excision, and tonsilloplasty, aiming to less bleeding, decreased operating time and minimum postoperative pain [2,5,6]. Despite the evolving technology and the variety of the devices that have been designed, research continues in order to accomplish these goals.…”

Section: Introductionmentioning

confidence: 99%

Multiparametric comparison of cold knife tonsillectomy, radiofrequency excision and thermal welding tonsillectomy in children

Chimona

Proimos

Mamoulakis

et al. 2008

International Journal of Pediatric Otorhinolaryngology

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“…Fifty percent of all 89 studies reported results with fewer than 90 subjects. Eight of the 89 studies (9%) reported study size with power analyses [7,21,32,46,54,55,62,63].…”

Section: Study Sizementioning

confidence: 99%

Making sense out of the tonsillectomy literature

Mink

Shaha²,

Brodsky

2009

International Journal of Pediatric Otorhinolaryngology

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A Prospective Randomized Single‐Blind Trial Comparing Ultrasonic Scalpel Tonsillectomy with Tonsillectomy by Blunt Dissection in a Pediatric Age Group

Abstract: US tonsillectomy appears to cause more postoperative pain than BD tonsillectomy in children aged 5 to 13 years undergoing tonsillectomy for recurrent acute tonsillitis.

Cited by 36 publications

References 15 publications

Comparison of Cold Technique Tonsillectomy and Thermal Welding Tonsillectomy at Different Age Groups

Comparison of Cold Technique Tonsillectomy and Thermal Welding Tonsillectomy at Different Age Groups

Multiparametric comparison of cold knife tonsillectomy, radiofrequency excision and thermal welding tonsillectomy in children

Making sense out of the tonsillectomy literature

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