Original Articles
A Comparative study of Coblation vs Conventional Tonsillectomy | |
Radhika.R.Krishnan, H.T.Lathadevi, R.N.Karadi, Shashikumar T | |
Introduction: Tonsils being affected by infectious diseases are common in otorhinolaryngological practice, whether in adults or children. Palatine tonsils are situated in the oropharynx, between the anterior and posterior pillars. Coblation tonsillectomy was introduced in 2001, and many studies show its efficacy regarding less complications. Methodology: This was a hospital-based prospective study on patients undergoing tonsillectomy in Shri B. M. Patil Medical College Hospital and Research Centre, Vijayapura, Karnataka, India. A total of 110 patients were selected and divided into two groups of 55 each. One group underwent coblation, and the other group underwent conventional tonsillectomy. The data were collected through clinical examination, time taken for surgery, intraoperative and postoperative blood loss, postoperative pain, and the time required to return to normal diet and activity. Patients were followed up after the procedure for five days with antibiotics and for 10 days to observe for hemorrhage/pain. Results: This study compared 55 coblation tonsillectomies and 55 conventional tonsillectomies. The conventional cold steel dissection and snare method took a mean time of 53.51 minutes, and coblation tonsillectomy took a mean time of 29.64 minutes. There was a significant difference between the mean times taken between the two groups, with a p-value of <0.05. The mean blood loss during coblation was 51.45 mL, while for dissection and snare, it was 88.89 mL. This difference was significant, with a p-value of <0.05. The postoperative pain score was higher for traditional tonsillectomy than for coblation tonsillectomy. The mean time required to return to regular diet and activity for the coblation method was 4.29 days, while for conventional tonsillectomy, it was 8.05 days. There was a significant difference in the mean time, with a p-value of <0.05. Conclusion: Coblation tonsillectomy is more advanced and better than the traditional dissection and snare method. It gives a bloodless field with less tissue damage than the conventional dissection and snare method. The operative time can be reduced, as surgery is performed by dissolution. Healing will be faster as there will be minimal tissue destruction, leading to more rapid patient recovery. |
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