Journal Title
Title of Journal: Indian J Otolaryngol Head Neck Surg
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Abbravation: Indian Journal of Otolaryngology and Head & Neck Surgery
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Authors: Itziar Álvarez Palacios Ricardo GonzálezOrús ÁlvarezMorujo Cristina Alonso Martínez Alejandra Ayala Mejías Oscar Arenas Brítez
Publish Date: 2017/01/16
Volume: 69, Issue: 2, Pages: 187-193
Abstract
Tonsillectomy is one of the most common surgical procedures performed worldwide Several techniques have been developed to reduce morbidity and enhance recovery after tonsillectomy Our study was designed to compare postoperative pain with three different techniques cold dissection CD monopolar–bipolar dissection MBD and coblation dissection CBD 103 adults were scheduled for elective tonsillectomy from September 2014 to December 2015 and were randomized to CD MBD and CBD Postoperative pain was assessed using visual analogue scale VAS and Lattinen Test LT We did not find significant differences between the groups in the VAS pain scores p 005 except for the first day when CBD tonsillectomy showed a higher pain score p 005 The differences in LT scores between the three techniques were not statistically significant p 005 Comparison of analgesic consumption between CD MBD and CBD did not found any significant differences irrespective of the technique used When first and second week after surgery were compared differences in analgesics requirements were statistically significant p 005 Seventeen cases 165 of secondary haemorrhage were reported but there were no statistical differences in the rate of postoperative bleeding between the three groups p 005 We conclude that in our study comparison of the three techniques CD MBD and CBD did not show significant differences in the posttonsillectomy pain scores and bleeding rateThis article does not contain any studies with animals performed by any of the authors All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards
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