Kandemir Süheyla, Pamuk Ahmet Erim, Özel Gökçe, Şencan Ziya
Department of Otorhinolaryngology, Kırıkkale Yüksek İhtisas Hospital, Kırıkkale, Turkey.
Department of Otorhinolaryngology, Private Practice, Ankara, Turkey.
Int Arch Otorhinolaryngol. 2023 Mar 29;27(4):e694-e698. doi: 10.1055/s-0042-1758715. eCollection 2023 Oct.
Tonsillectomy is among the most common otolaryngological surgeries. To evaluate and compare three tonsillectomy techniques: cold steel dissection (CSD), monopolar electrocautery (MEC), and coblation. The present study retrospectively reviewed the medical records of patients who underwent tonsillectomy between January 2014 and January 2016. Postoperative visual analog scale (VAS) pain scores, analgesic use, surgical duration, time to return to normal activity, and postoperative bleeding status were noted. The CSD group had less analgesic use and shorter return to normal activity than the MEC group ( = 0.037 and < 0.001, respectively). The coblation group had lower VAS pain scores than the MEC group only at 1 hour to 4 hours postsurgery ( < 0.016). The postoperative bleeding rate was similar in all groups ( = 0.096). Cold steel dissection tonsillectomy is associated with less postoperative pain and shorter recovery than MEC. Coblation is better than MEC in terms of postoperative pain at 1 hour to 4 hours only, whereas CSD is associated with less postoperative pain than coblation at 2 days to 7 days.
扁桃体切除术是最常见的耳鼻喉科手术之一。为了评估和比较三种扁桃体切除技术：冷钢剥离术（CSD）、单极电烙术（MEC）和低温等离子刀切除术。本研究回顾性分析了2014年1月至2016年1月期间接受扁桃体切除术患者的病历。记录术后视觉模拟评分（VAS）疼痛评分、镇痛药使用情况、手术时间、恢复正常活动的时间以及术后出血情况。CSD组的镇痛药使用量少于MEC组，恢复正常活动的时间也短于MEC组（分别为P = 0.037和P < 0.001）。低温等离子刀切除术组仅在术后1小时至4小时的VAS疼痛评分低于MEC组（P < 0.016）。所有组的术后出血率相似（P = 0.096）。冷钢剥离扁桃体切除术与MEC相比，术后疼痛更少，恢复时间更短。低温等离子刀切除术仅在术后1小时至4小时的术后疼痛方面优于MEC，而CSD在术后2天至7天的术后疼痛方面少于低温等离子刀切除术。
