Abstract
The purpose of this study was to compare bipolar electrodissection tonsillectomy with traditional cold dissection tonsillectomy in the pediatric population. Forty children with recurrent tonsillitis and/or obstructive symptoms were included in the study. The study population was randomly divided into two groups, and the two techniques were compared with regard to operative time, intraoperative and postoperative bleeding and postoperative pain. There were 23 children in the bipolar electrodissection tonsillectomy group (mean age, 8.1 years; range, 5–12 years), and 17 children in the cold dissection tonsillectomy group (mean age, 6.7 years; range, 5–12 years). The average operative times were 15.2±8.5 min for bipolar electrodissection tonsillectomy and 29.06±13.5 min for cold dissection tonsillectomy (P<0.05). The blood loss in bipolar electrodissection tonsillectomy and cold dissection tonsillectomy was 5.0±4.2 ml and 32.1±11.3 ml, respectively (P<0.05). Postoperative hemorrhage was not observed. Bipolar electrodissection tonsillectomy was less painful the first 30 min postoperatively (P<0.05). Bipolar electrodissection tonsillectomy in children is a useful technique, with results comparable to traditional cold dissection tonsillectomy.
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References
Blair RL, McKerrow WS, Carter NW, Fenton A (1996) The Scottish tonsillectomy audit: the audit of the sub-committee of the Scottish Otolaryngological Society. J Laryngol Otol [Suppl] 20:1–20
Nunez DA, Provan J, Crawford M (2000) Postoperative tonsillectomy pain in pediatric patients. Arch Otolaryngol Head Neck Surg 126:837–841
Pang YT (1995) Paediatric tonsillectomy: bipolar electrodissection and dissection/ snare compared. J Laryngol Otol 109:733–736
Andrea M (1993) Microsurgical bipolar cautery tonsillectomy. Laryngoscope 103:1177–1178
Akkielah A, Kalan A, Kenyon GS (1997) Diathermy tonsillectomy: comparisons of morbidity following bipolar and monopolar microdissection needle excision. J Laryngol Otol 111:735–738
Atallah N, Kumar M, Hilali A, Hickey S (2000) Post-operative pain in tonsillectomy: bipolar electrodissection technique vs dissection ligation technique. A double blind randomized prospective trial. J Laryngol Otol 114:667–670
Kujawski O, Dulguerov P, Gysin C, Lehmann W (1997) Microscopic tonsillectomy: a double blind randomised trial. Otolaryngol Head Neck Surg 117:641–647
MacGregor FB, Albert DM, Bhattacharyya AK (1995) Post-operative morbidity following paediatric tonsillectomy: a comparison of bipolar diathermy dissection and blunt dissection. Int J Pediatr Otorhinolaryngol 31:1–6
Pizzuto MP, Brodsky L, Duffy L, Gendler J, Nauenberg E (2000) A comparison of microbipolar cautery dissection to hot knife and cold knife cautery tonsillectomy. Int J Pediatr Otorhinolaryngol 52:239–246
Raut V, Bhat N, Kinsella J, Toner JG, Sinnathuray AR, Stevenson M (2001) Bipolar versus cold dissection tonsillectomy: a prospective randomized multi-unit study. Laryngoscope 111:2178–2182
Leach J, Mannings S, Schaefer S (1993) Comparison of two methods of tonsillectomy. Laryngoscope 103:619–622
Bieri D, Reeve RA, Champion GD, Addicoat L, Ziegler JB (1990) The faces pain scale for the self-assessment of the severity of pain experienced in children. Pain 41:139–140
Back L, Paloheimo M, Ylikoski J (2001) Traditional tonsillectomy compared with bipolar radiofrequency thermal ablation tonsillectomy in adults. Arch Otolaryngol Head Neck Surg 127:1106–1112
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Kirazli, T., Bilgen, C., Midilli, R. et al. Bipolar electrodissection tonsillectomy in children. Eur Arch Otorhinolaryngol 262, 716–718 (2005). https://doi.org/10.1007/s00405-004-0774-4
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DOI: https://doi.org/10.1007/s00405-004-0774-4