Comparative Post-operative Pain Analysis Between Coblator Assisted and Bipolar Diathermy Tonsillectomy in Paediatric Patients

  • Bhanu Bhardwaj
  • Jaskaran Singh
Original Article


Tonsillectomy is one of the commonly performed otolaryngological operations. Despite a range of different techniques post-operative pain remains a major side-effect of this operation. Coblation assisted tonsillectomy is a latest technique of tonsillectomy. This technique is said to be associated with less intra-operative bleeding and less postoperative morbidity. We conducted a study in 100 patients to compare the pain scores between coblation assisted and bipolar diathermy tonsillectomy by FLACC score and Wong Baker scale score. The data so collected was statistically analysed using a t test and p values were calculated. The p value was highly significant (p < 0.001) for both scores in coblation assisted tonsillectomy 6 h postoperatively and on 1st postoperative day (p < 0.05). On 7th post-operative day however there was no significant difference in post-operative pain score using FLACC score in both groups but Wong baker scale scores were still significant. We concluded that post-operative pain was less with coblator assisted tonsillectomy as compared to bipolar diathermy tonsillectomy at least in early post-operative period.


Coblation Tonsillectomy Pain score 


  1. 1.
    Lowe D, van der Meulen J, Cromwell D, Lewsey J, Copley L, Browne J et al (2007) Key messages from the national prospective tonsillectomy audit. Laryngoscope 117(4):717–724CrossRefPubMedGoogle Scholar
  2. 2.
    Pinder DK, Wilson H, Hilton MP (2011) Dissection versus diathermy for tonsillectomy. Cochrane Database Sys Rev (3):CD002211.
  3. 3.
    Hesham A (2009) Bipolar diathermy versus cold dissection in paediatric tonsillectomy. Int J Paediatr Otorhinolaryngol 73:793–795CrossRefGoogle Scholar
  4. 4.
    Sergeev VN, Belov SV (2003) Coblation technology: a new method for high-frequency electrosurgery. Springer Biomed Eng 37(1):22–25CrossRefGoogle Scholar
  5. 5.
    Nithya V, Dutta A, Sabari Girish K (2017) A comparative study of coblation assisted adenotonsillectomy and cold dissection adenotonsillectomy in children. Int J Otorhinolaryngol Head Neck Surg 3:122–127CrossRefGoogle Scholar
  6. 6.
    Woloszko J, Gilbride C (2000) Coblation technology: plasma mediated ablation for otolaryngology applications. In: Proceedings of the SPIE, vol 3907, pp 306–316.
  7. 7.
    Balasubramanian (2014) Coblation tonsillectomy—our experience. Otolaryngology. ISSN:22500359.4(1.5). Accessed 3 May 2018
  8. 8.
    Temple RH, Timms MS (2001) Paediatric coblation tonsillectomy. Int J Pediatr Otorhinolaryngol 61:195–198CrossRefPubMedGoogle Scholar
  9. 9.
    Timms MS, Temple RH (2002) Coblation tonsillectomy: a double blind randomized controlled study. J Laryngolotol 116:450–452Google Scholar
  10. 10.
    The Royal Children’s Hospital Melbourne (2018) Clinical Guidelines (nursing). Pain Assess Meas. Accessed 3 May 2018
  11. 11.
    Mitic S, Tvinnereim M, Lie E, Saltyte BJ (2007) A pilot randomized controlled trial of coblation tonsillectomy versus dissection tonsillectomy with bipolar diathermy haemostasis. Clin Otolaryngol 32:261–267CrossRefPubMedGoogle Scholar
  12. 12.
    Singh R, Anand TS, Garg P, Kulshreshtha P (2012) A prospective, randomized, double-blind study of coblation versus dissection tonsillectomy in adult patients. Indian J Otolaryngol Head Neck Surg 64(3):290–294CrossRefGoogle Scholar
  13. 13.
    Burton MJ, Doree C (2007) Coblation versus other surgical techniques for tonsillectomy. Cochrane Database Syst Rev (3):CD004619.
  14. 14.
    Noordzji JP, Affleck BD (2006) Coblation versus unipolar electrocautery tonsillectomy. Laryngoscope 116(8):1303–1309CrossRefGoogle Scholar
  15. 15.
    Omrani M, Barati B, Omidifar N, Okhovvat A, Hashemi S (2012) Coblation versus traditional tonsillectomy: a double blind randomized controlled trial. J Res Med Sci 17(1):45–50PubMedPubMedCentralGoogle Scholar

Copyright information

© Association of Otolaryngologists of India 2018

Authors and Affiliations

  1. 1.Sri Guru Ram Das Institute of Health Sciences And ResearchAmritsarIndia
  2. 2.AmritsarIndia
  3. 3.MohaliIndia

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