Chaudhary Kanchan, Singh Vishwambhar, Yadav Ramraj, Chaudhary Ashvanee Kumar, Kumar Rajesh, Gupta Deepak Kumar, Verma Jyoti Kumar
Department of Otorhinolaryngology, Government Medical College & Super Facility Hospital, Azamgarh, India.
Department of Otorhinolaryngology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh India.
Indian J Otolaryngol Head Neck Surg. 2023 Dec;75(4):2870-2877. doi: 10.1007/s12070-023-03872-5. Epub 2023 May 20.
Tonsillectomy is one of the most common ear, nose and throat surgical procedure, carried out worldwide. Amongst the various method of tonsillectomy (diathermy, laser, harmonic scalpel, radiofrequency cautery cryosurgery and coblation), dissection and snare method is commonest procedure done by otorhinolaryngologist. To compare the post operative complications associated with coblation versus conventional cold-dissection steel tonsillectomy. We carried out the prospective study of complications associated with coblation versus conventional cold steel tonsillectomy in postoperative pain, anesthesia, hemorrhage, fever, pharyngitis, injury of adjacent structure & cautery burn. Average blood loss on Coblation side was 18.74 ml while on conventional side it was 44.2 ml. Post operative pain score, injury to adjacent structure and cautery burn were found to be significantly decreased in coblation. No such difference was observed in pharyngitis and fever in both methods. The use of coblator reduces the post-operative pain, peri or post-operative blood loss, injury to adjacent structure & cautery burn too.
扁桃体切除术是全球范围内最常见的耳鼻喉科外科手术之一。在各种扁桃体切除方法（透热疗法、激光、超声刀、射频烧灼、冷冻手术和低温等离子消融术）中，剥离圈套法是耳鼻喉科医生最常进行的手术。为了比较低温等离子消融术与传统冷剥离钢制扁桃体切除术相关的术后并发症。我们对低温等离子消融术与传统冷钢制扁桃体切除术在术后疼痛、麻醉、出血、发热、咽炎、邻近结构损伤及烧灼伤方面的并发症进行了前瞻性研究。低温等离子消融术一侧的平均失血量为18.74毫升，而传统方法一侧为44.2毫升。发现低温等离子消融术在术后疼痛评分、邻近结构损伤及烧灼伤方面明显降低。两种方法在咽炎和发热方面未观察到此类差异。使用低温等离子刀也可减轻术后疼痛、术中和术后失血量、邻近结构损伤及烧灼伤。
