Conventional Vs Coblation Tonsillectomy

Dr Rohan K Patel; Dr Roma Gandhi; Dr Monil parsana; Dr Kalpesh Patel; Dr Rajesh Vishwakarma

Volume : VI, Issue : V, May - 2017

Conventional Vs Coblation Tonsillectomy

Dr Rohan K Patel, Dr Roma Gandhi, Dr Monil Parsana, Dr Kalpesh Patel, Dr Rajesh Vishwakarma

Abstract :

A prospective study to compare coblation tonsillectomy and conventional dissection method in terms of postoperative pain, bleeding, and rapidity of healing in adult Indian patients undergoing tonsillectomy between the age group of 8-32 year. Out of 67 adult patients undergoing tonsillectomy for benign indications a study group of 37 patients underwent coblation tonsillectomy under microscopic guidance and 30 patients of control group underwent conventional tonsillectomy. The operative time and blood loss was noted for each group. Patients were evaluated at 6, 12, 24 hours postoperatively and then on 7^th and 14^th postoperative day for postoperative pain (by visual analog scale), bleeding, and tonsillar fossa healing. Statistical comparison was done using appropriate tests. The two groups were demographically matched. It took longer to perform the conventional procedure (18 vs 13 min).The operative blood loss on the radiofrequency side was 10 ml, vs 29 ml on the conventional side (P = 0.009). 81% patients said that the coblation side was less painful for the overall 14-day recovery period. There were significant differences seen at 6, 12 and 24 h in terms of post-operative pain scores. Beyond that, the pain was consistently less on the coblation side, but the difference was not significant. There was one case of reactionary or secondary hemorrhage in the study group. We concluded that the ability to have one tool to ablate, coagulate, suction and irrigate make it an attractive technique to consider for resection of tonsillar tissue. Coblation is easy to learn and extremely fast and efficient. Tonsillectomy that uses Coblation is designed to reduce the post-operative pain without the discomfort and inconvenience associated with traditional surgery.