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Postoperative Pain After Tonsillectomy; Comparison Between CO2 Laser Versus Conventional Dissection Tonsillectomy

Received: 7 February 2015     Accepted: 13 February 2015     Published: 9 May 2015
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Abstract

Background:Postoperative pain after tonsillectomy is a great problem that the ideal tonsillectomy operation should have little or no morbidity or mortality with excellent outcome. Aim of the study:To compare the outcome of postoperative pain with two different methods of tonsillectomy, conventional dissection Tonsillectomy versus CO2 laser assisted tonsillectomy procedure. Method:Randomized clinical trial was done on 126 adult patients with chronic recurrent tonsillitis that underwent tonsillectomies operation divided into two groups. Group A (n=63) subjected to Conventional dissection tonsillectomy .Group B (n=63) subjected to CO2 Laser assisted tonsillectomy. Results: There was no statistically significant difference between patients in both groups with regard to mean VAS forpain starting from day 0 to day 10after initiation of treatment .Mean VAS for post tonsillectomypain in both groups revealed that at the end of day 10, pain was completely absent in both groups. Conclusion:Conventional dissection Tonsillectomy is almost similar to CO2 Laser assisted tonsillectomy operation in post operative pain and patient's quality of life but Laser-assisted tonsillectomy has shown to have shortened in the operative time with reduces the blood loss.

Published in Journal of Surgery (Volume 3, Issue 2-1)

This article belongs to the Special Issue Postoperative Pain Syndrome

DOI 10.11648/j.js.s.2015030201.16
Page(s) 27-30
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Tonsillectomy, Conventional, Laser, Pain, Randomized Controlled Trial

References
[1] Sharma K, Kumar D. Ligation versus bipolar diathermy for hemostasis in tonsillectomy: a comparative study. Indian J Otolaryngol Head Neck Surg.2011 ;63(1):15-9.
[2] Oomen KP, Modi VK, Stewart MG. Evidence-based practice: pediatric tonsillectomy. OtolaryngolClin North Am. 2012; 45(5): 1071-81.
[3] Curtin JM ; The history of tonsil and adenoid surgery. OtolClin North Am20: 1987 , 415-419.
[4] Fayoux P, Wood C. Non-pharmacological treatment of post-tonsillectomy pain.Eur Ann Otorhinolaryngol Head Neck Dis. 2014;4. pii: S1879-7296(14)00098-2
[5] Tugrul S, Degirmenci N, Eren SB, Dogan R, Veyseller B, Ozturan O. Analgesic effect of magnesium in post-tonsillectomy patients: a prospective randomised clinical trial.Eur Arch Otorhinolaryngol. 2014 Aug 6.[ Repeated as reference 16]
[6] Sharma K, Kumar D. Ligation versus bipolar diathermy for hemostasis in tonsillectomy: a comparative study. Indian J Otolaryngol Head Neck Surg. 2011 Jan;63(1):15-9.
[7] Gofman VR, Kniaz'kov VB. [The application of a CO(2)-laser for tonsillectomy in the patients presenting with chronic decompensated tonsillitis as an alternative to the traditional methods of surgical treatment]. [Article in Russian]
[8] Setabutr D, Adil EA, Chaikhoutdinov I, Carr MM. Impact of the pediatric tonsillectomy and polysomnography clinical practice guidelines. Int J Pediatr Otorhinolaryngol. 2014 Mar;78(3):517-21.
[9] Sargi Z, Younis RT. Tonsillectomy and adenoidectomy techniques: past, present and future.ORL J Otorhinolaryngol Relat Spec. 2007;69(6):331-5. Epub 2007 Nov 23.
[10] Jiang Z, Wang J, Dong C, Liang C, Fu Q, Liu G, Yin J, Zhang Z. [Clinical study of carbon dioxide laser tonsillectomy].[Article in Chinese] Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2010 Feb;24(3):119-21.
[11] SFORL work group, Paganelli A, Ayari Khalfallah S, Brunaud A, Constant I, Deramoudt V, Fayoux P,et al; Guidelines (short version) of the French Oto-Rhino-Laryngology - Head and Neck Surgery Society (SFORL) for the management of post-tonsillectomy pain in adults. Eur Ann Otorhinolaryngol Head Neck Dis. 2014 Aug 5. pii: S1879-7296(14)00095-7.
[12] Rakesh S, Anand TS, Payal G, Pranjal K. A Prospective, Randomized, Double-Blind Study of Coblation versus Dissection Tonsillectomy in Adult Patients.Indian J Otolaryngol Head Neck Surg. 2012 Sep;64(3):290-4.
[13] Pinder DK, Wilson H, Hilton MP. Dissection versus diathermy for tonsillectomy.Cochrane Database Syst Rev. 2011 Mar 16;(3):CD002211.
[14] Warnock FF, Lander J ; Pain Progression, intensity and outcomes following tonsillectomy. Pain,; 1998 ,10, 75: 37-45.
[15] Sezen OS, Kaytanci H, Kubilay U, Coskuner T, Unver S. Comparison between tonsillectomy with thermal welding and the conventional 'cold' tonsillectomy technique.ANZ J Surg. 2008 Nov;78(11):1014-8.
[16] Tugrul S, Degirmenci N, Eren SB, Dogan R, Veyseller B, Ozturan O. Analgesic effect of magnesium in post-tonsillectomy patients: a prospective randomised clinical trial.Eur Arch Otorhinolaryngol. 2014 Aug 6.
[17] Auf I, Osborne JE, Sparkes C, Khall H. Is the KTP laser effective in tonsillectomy? ClinOtolarygol 1997; 22: 145-46.
[18] Ishlah LW, Fahmi AM, SrinoviantiN ;Laser versus dissection technique of tonsillectomy. Med J Malaysia; 2005, 60: 76-80.
[19] Unkel C, Lehnerdt G, Schmitz KJ, Jahnke K. Laser-tonsillotomy for treatment of obstructive tonsillar hyperplasia in early childhood: a retrospective review.Int J Pediatr Otorhinolaryngol. 2005 Dec;69(12):1615-20. Epub 2005 Sep 26.
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  • APA Style

    Fahd Ali Alharbi, Mohamed Rifaat Ahmed. (2015). Postoperative Pain After Tonsillectomy; Comparison Between CO2 Laser Versus Conventional Dissection Tonsillectomy. Journal of Surgery, 3(2-1), 27-30. https://doi.org/10.11648/j.js.s.2015030201.16

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    ACS Style

    Fahd Ali Alharbi; Mohamed Rifaat Ahmed. Postoperative Pain After Tonsillectomy; Comparison Between CO2 Laser Versus Conventional Dissection Tonsillectomy. J. Surg. 2015, 3(2-1), 27-30. doi: 10.11648/j.js.s.2015030201.16

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    AMA Style

    Fahd Ali Alharbi, Mohamed Rifaat Ahmed. Postoperative Pain After Tonsillectomy; Comparison Between CO2 Laser Versus Conventional Dissection Tonsillectomy. J Surg. 2015;3(2-1):27-30. doi: 10.11648/j.js.s.2015030201.16

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  • @article{10.11648/j.js.s.2015030201.16,
      author = {Fahd Ali Alharbi and Mohamed Rifaat Ahmed},
      title = {Postoperative Pain After Tonsillectomy; Comparison Between CO2 Laser Versus Conventional Dissection Tonsillectomy},
      journal = {Journal of Surgery},
      volume = {3},
      number = {2-1},
      pages = {27-30},
      doi = {10.11648/j.js.s.2015030201.16},
      url = {https://doi.org/10.11648/j.js.s.2015030201.16},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.s.2015030201.16},
      abstract = {Background:Postoperative pain after tonsillectomy is a great problem that the ideal tonsillectomy operation should have little or no morbidity or mortality with excellent outcome. Aim of the study:To compare the outcome of postoperative pain with two different methods of tonsillectomy, conventional dissection Tonsillectomy versus CO2 laser assisted tonsillectomy procedure. Method:Randomized clinical trial was done on 126 adult patients with chronic recurrent tonsillitis that underwent tonsillectomies operation divided into two groups. Group A (n=63) subjected to Conventional dissection tonsillectomy .Group B (n=63) subjected to CO2 Laser assisted tonsillectomy. Results: There was no statistically significant difference between patients in both groups with regard to mean VAS forpain starting from day 0 to day 10after initiation of treatment .Mean VAS for post tonsillectomypain in both groups revealed that at the end of day 10, pain was completely absent in both groups. Conclusion:Conventional dissection Tonsillectomy is almost similar to CO2 Laser assisted tonsillectomy operation in post operative pain and patient's quality of life but Laser-assisted tonsillectomy has shown to have shortened in the operative time with reduces the blood loss.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Postoperative Pain After Tonsillectomy; Comparison Between CO2 Laser Versus Conventional Dissection Tonsillectomy
    AU  - Fahd Ali Alharbi
    AU  - Mohamed Rifaat Ahmed
    Y1  - 2015/05/09
    PY  - 2015
    N1  - https://doi.org/10.11648/j.js.s.2015030201.16
    DO  - 10.11648/j.js.s.2015030201.16
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 27
    EP  - 30
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.s.2015030201.16
    AB  - Background:Postoperative pain after tonsillectomy is a great problem that the ideal tonsillectomy operation should have little or no morbidity or mortality with excellent outcome. Aim of the study:To compare the outcome of postoperative pain with two different methods of tonsillectomy, conventional dissection Tonsillectomy versus CO2 laser assisted tonsillectomy procedure. Method:Randomized clinical trial was done on 126 adult patients with chronic recurrent tonsillitis that underwent tonsillectomies operation divided into two groups. Group A (n=63) subjected to Conventional dissection tonsillectomy .Group B (n=63) subjected to CO2 Laser assisted tonsillectomy. Results: There was no statistically significant difference between patients in both groups with regard to mean VAS forpain starting from day 0 to day 10after initiation of treatment .Mean VAS for post tonsillectomypain in both groups revealed that at the end of day 10, pain was completely absent in both groups. Conclusion:Conventional dissection Tonsillectomy is almost similar to CO2 Laser assisted tonsillectomy operation in post operative pain and patient's quality of life but Laser-assisted tonsillectomy has shown to have shortened in the operative time with reduces the blood loss.
    VL  - 3
    IS  - 2-1
    ER  - 

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Author Information
  • Department of Otolaryngology- Head and Neck Surgery, Faculty of Medicine, jazan University, Jazan, Saudi Arabia

  • Department of Otolaryngology-Head and Neck Surgery, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

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