Comparison of post-tonsillectomy morbidity operated with Cold Knife and Coblation in patients with Sleep Apnea

IF 0.2 Q4 OTORHINOLARYNGOLOGY ENT Updates Pub Date : 2018-12-18 DOI:10.32448/ENTUPDATES.499040
F. Oghan, Ali Guvey, O. Aydemir, Onur Erdoğan, Muhammet Topuz, M. Çeliker, S. Terzi, Seckin Akbal
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Abstract

Objective: To compare post-tonsillectomy morbidity between the Snare and Coblation methods in patients with sleep apnea. Method: The study is performed in 49 cases. Twentyone patients who were operated by Snare method while the other 28 patients underwent coblation tonsillectomy. The amount of intraoperative bleeding has been recorded. The pain levels at the postoperative hours 6th and 12th.; on the postoperative days of 1, 3, 7 the patients were assessed through VAS and Wong-Baker-Faces-Pain-Rating-Scale (WBFPRS) and were compared between two groups. The Tonsillar-Fossa-Wound-Healing-Score (TFWHS) assessment was carried out for the wound healing rate on the postoperative days of 1, 3, 5, 7 and 10. Results: The patients who underwent coblation had significantly lower amounts of bleeding compared to the snare method (p=0.046). The patients who were assessed within the scope of this study and underwent tonsillectomy with snare method had significantly higher 6th hour VAS and WBFPRS scores (p=0.011, p=0.005); whereas 12th hour, days of 1, 2, 3 and 7 VAS and WBFPRS scores were similar. TFWHSs of the studied patients who underwent coblation were significantly higher on the days of 1 and 3 (p=0.007; p=0.008) but these scores were similar on days of 5, 7, and 10. Conclusion: The study has showed that the amount of intraoperative bleeding of the cases underwent coblation is significantly lower. The lower early period postoperative pain resulting in earlier oral intake and better recovery scores for the tonsillary fossa seems to be the advantages of the coblation as opposed to the snare method.
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睡眠呼吸暂停患者扁桃体切除术后冷刀与冰刀手术发病率的比较
目的:比较Snare法和cocoation法治疗睡眠呼吸暂停患者扁桃体切除术后的发病率。方法:对49例患者进行研究。21例采用Snare法切除扁桃体,28例采用消融扁桃体切除术。记录术中出血量。术后第6、12小时疼痛程度;术后第1、3、7天分别采用VAS和WBFPRS评分对患者进行评分,并进行两组间比较。术后第1、3、5、7、10天采用扁桃体-窝-创面愈合评分(TFWHS)评估创面愈合率。结果:与圈套法相比,消融组的出血量明显减少(p=0.046)。在本研究范围内接受圈套法扁桃体切除术的患者,其第6小时VAS和WBFPRS评分显著高于对照组(p=0.011, p=0.005);而第12小时、第1、2、3、7天VAS评分与WBFPRS评分相似。接受消融治疗的患者TFWHSs在治疗第1天和第3天显著升高(p=0.007;P =0.008),但这些分数在第5、7和10天相似。结论:研究表明,术中出血量明显降低。较低的术后早期疼痛导致更早的口腔摄入和更好的扁桃体窝恢复评分似乎是与圈套法相反的消融法的优势。
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来源期刊
ENT Updates
ENT Updates OTORHINOLARYNGOLOGY-
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