Department of Otorhinolaryngology/Head and Neck Surgery, Haydarpaşa Numune Education and Research Hospital, Istanbul, Turkey.
Eur Arch Otorhinolaryngol. 2013 Jan;270(1):363-6. doi: 10.1007/s00405-012-2129-x. Epub 2012 Jul 29.
The objective of this study was to evaluate the effect of cooling the tonsillar fossa during thermal welding tonsillectomy on pain and wound healing. Prospective, blinded, clinical study was conducted. 30 patients who underwent tonsillectomy by thermal welding were evaluated. When one of the tonsillar fossa was cooled by isotonic fluid, the other has left untreated. Postoperative pain and mucosal healing pattern were assessed. Data were recorded and statistically analyzed. Healing process of the cooled down tonsillar fossae were significantly better on the 7th and 14th postoperative day (p < 0.01). Control tonsillar fossae had significantly higher pain scores on the 3rd, 7th and 14th postoperative day (p < 0.05). Administration of isotonic fluid, during thermal welding tonsillectomy for cooling tonsillar fossae, accelerates wound-healing process significantly and decreases tonsillectomy related pain complaints post-operatively.
本研究旨在评估在热焊接扁桃体切除术期间冷却扁桃体窝对疼痛和伤口愈合的影响。进行了前瞻性、盲法、临床研究。评估了 30 例接受热焊接扁桃体切除术的患者。当一个扁桃体窝用等渗液冷却时，另一个未处理。评估术后疼痛和黏膜愈合模式。记录数据并进行统计学分析。冷却的扁桃体窝在术后第 7 天和第 14 天的愈合过程明显更好（p < 0.01）。对照组扁桃体窝在术后第 3、7 和 14 天的疼痛评分明显更高（p < 0.05）。在热焊接扁桃体切除术中使用等渗液冷却扁桃体窝可显著加速伤口愈合过程，并减少术后与扁桃体切除相关的疼痛。
