Diode laser versus blunt dissection tonsillectomy

Matin, MA; Chowdhury, M Alamgir

doi:10.3329/bjo.v18i2.11983

Cited by 4 publications

(5 citation statements)

References 14 publications

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“…This might relate to thermal tissue damage by the diode laser causing an intense inflammatory reaction, which would trigger a higher degree of pain. The same pattern of post-operative pain after diode laser tonsillectomy was reported by Matin and Chowdhury: they showed that pain correlated with the production of a thick slough over the tonsil beds 25 …”

Section: Discussionsupporting

confidence: 74%

A randomised controlled trial of coblation, diode laser and cold dissection in paediatric tonsillectomy

et al. 2015

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Section: Discussionsupporting

confidence: 74%

A randomised controlled trial of coblation, diode laser and cold dissection in paediatric tonsillectomy

et al. 2015

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“…Postoperative pain should be minimized not just for the patients comfort but also because it may impair swallowing with a risk of dehydration, infection and secondary haemorrhage. Hot electrosurgery and laser tonsillectomy has been reported to cause more severe postoperative pain than conventional blunt dissection technique 18,19 . In our study, we found that children of coblation group experienced mild to moderate pain with maximum on day 2 and no pain on day 8 in comparison to dissection group where children experienced moderate to severe pain with maximum pain on day 4 and mild pain on day 8 .…”

Section: Resultsmentioning

confidence: 99%

Coblation Tonsillectomy Versus Blunt Dissectomy Tonsillectomy in Children

Matin

Chowdhury²,

Haque

et al. 2013

Anwer Khan Mod Med Coll J

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Tonsillectomy is one of the most common surgical procedure performed world wide by the ENT Surgeons.Various methods of tonsillectomy have been practiced over the century aimed at reducing or eliminating intraoperative and postoperative morbidity. Coblation tonsillectomy is a recently introduced surgical technique. Tonsillectomy over blunt dissection tonsillectomy in respect of operative time, intraoperative blood loss, postoperative pain, rate of healing of tonsillar fossa and other postoperative complications. This prospective randomized study was done at Maleka Nursing Home, Bogra and Bangladesh ENT Hospital, Dhaka for 36 months from 1st January 2008 to 31December 2010. 200 children were divided into two groups of equal number. In one group, the tonsillectomy performed by Coblation method and in the other group the tonsillectomy Age ranged from 3-12 years with mean age 5.6 in coblation group and 4-14 years with mean age 7.2 in dissection group. Number of male patients were slightly more than female with male female ratio was 3:2 in coblation group and 3.7:2 in dissection group. Operative time and amount of blood loss is significantly reduced in the coblation group (10-25 min, mean 12 min in coblation group, 18-35 min, mean 25 min in dissection group. Tonsillectomy by using coblation have shown less intraoperative bleeding (5ml-100 ml, mean 15 ml compared with 50-230 ml, mean 65 ml in dissection method).During post operative follow-up on day 8, children of coblation group experienced mild to moderate pain with maximum pain on day 2 and no pain on day 8. On the other hand dissection group experienced moderate to severe pain with maximum pain on day 4 and little or no pain on day 8.Children of coblation group returned to normal diet on day 3 and children of dissection group on day 8.On 8th post operative day, coblation group showed smooth healing without any granulation tissue in tonsillar fossa whereas granulation tissue is observed in dissection group. No major complications were noted in any group except one secondary haemorrhage in dissection group. Coblation tonsillectectomy offers less operative time, minimum blood loss, less post operative pain,early return to normal diet and rapid healing of tonsillar fossa. DOI: http://dx.doi.org/10.3329/akmmcj.v4i1.13681 AKMMC J 2013: 4(1): 25-29

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“…1 Various methods of tonsillectomy have been practiced over the century aimed at reducing or eliminating intraoperative and postoperative morbidity. 2 Since the first tonsil removal performed by Celsus in 30 BC. 3 Multiple surgical techniques have been described anddiverse instruments have been evolved for this purpose.…”

Section: Introductionmentioning

confidence: 99%

Coblation versus Diode Laser Tonsillectomy in Children: A Randomized Controlled Trial

Matin

Sabur

Azad³

et al. 2020

Bangladesh J of Otorhinolaryngology

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Objective: This study aimed to compare the efficacy of diode laser and coblation tonsillectomy in paediatric patients in relation to operative time, amount of blood loss, post operative pain, healing of tonsillar fossa and returns to normal diet. Methods: A total of 200 patients ,100 for coblaton and 100 for diode laser, aged 3-12 years with recurrent tonsillitis with or without snoring and sleep apnoea were recruited. Participants were prospectively randomised to diode laser and coblation tonsillectomy. Operative time and blood loss were recorded. Pain was recorded by VAS or assessed by using analgesic. Results: The operative time were recorded 07-15 minutes,mean 10 minutes in coblation group and 12-20 minutes ,mean 14 minutes in laser group., Blood loss was recorded 0-15 ml mean 8 ml in coblation group and 10-25 ml mean 13.5 ml in diode laser group . However, at post-operative day seven, the diode laser tonsillectomy group had significantly higher pain scores compared with coblationtonsillectomy groups.Coblation group started normal soft diet on day 5 whereas diode laser started on day 8 Conclusion: Coblation tonsillectomy is associated with less operative time and blood loss, early returns to normal diet and less pain score in comparison to Diode laser tonsillectomy Bangladesh J Otorhinolaryngol; October 2017; 23(2): 140-145

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Diode laser versus blunt dissection tonsillectomy

Abstract: Abstract:

Cited by 4 publications

References 14 publications

A randomised controlled trial of coblation, diode laser and cold dissection in paediatric tonsillectomy

A randomised controlled trial of coblation, diode laser and cold dissection in paediatric tonsillectomy

Coblation Tonsillectomy Versus Blunt Dissectomy Tonsillectomy in Children

Coblation versus Diode Laser Tonsillectomy in Children: A Randomized Controlled Trial

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