Coblation tonsillectomy under surgical microscopy: A retrospective study

Objective A retrospective study to compare surgical parameters and postoperative pain in patients undergoing coblation tonsillectomy with or without microscopic guidance. Methods Data regarding duration of surgery and hospital stay, intraoperative blood loss, incidence of haemorrhage and postoperati...

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Bibliographic Details
Published in:Journal of international medical research 2016-08, Vol.44 (4), p.923-930
Main Authors: Pang, Yufeng, Gong, Jingrong, Huang, Juan, He, Shuangzhu, Zhou, Hong
Format: Article
Language:English
Subjects:
Adolescent
Adult
Clinical Reports
Female
Humans
Male
Microsurgery - methods
Middle Aged
Retrospective Studies
Tonsillectomy - methods
Young Adult
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Summary:Objective A retrospective study to compare surgical parameters and postoperative pain in patients undergoing coblation tonsillectomy with or without microscopic guidance. Methods Data regarding duration of surgery and hospital stay, intraoperative blood loss, incidence of haemorrhage and postoperative pain scores were retrieved from the medical records of adult patients undergoing coblation tonsillectomy under direct vision or with microscopic guidance. Results The incidence of secondary haemorrhage (>24 h postoperatively) was significantly lower and the duration of hospital stay was significantly shorter in the microscope group (n = 92) than the direct vision group (n = 76). Pain scores both at rest and while swallowing reached ≤3 (no significant impact on quality-of-life) significantly faster in the microscope group than the direct vision group. Conclusions Microscope-assisted coblation tonsillectomy decreases the duration of hospital stay and the incidence of postoperative secondary haemorrhage, and results in an early improvement in postoperative pain scores.
ISSN:0300-0605
1473-2300
DOI:10.1177/0300060516628705