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  Patronage of the Polish Society of Audiology and Phoniatrics

vol 8. no 2. June 2009  

 Original articles
Conventional tonsillectomy versus coblation tonsillectomy – comparison of techniques
Paweł K. Burduk

Introduction. Tonsillectomy is a procedure resulting in pain of varying intensity, problems with swallowing and consequent dietary limitations during the post-operative period and varying, usually long, recovery time. Recent progress in medical techniques has made it possible to implement surgical procedures capable of a considerable elimination of those disadvantages. Coblation tonsillectomy is an example of such new procedure.
Aim. Comparing conventional tonsillectomy with coblation tonsillectomy in a group of adult patients with chronic palatine tonsillitis treated by surgery.
Materials and methods. Two comparable groups of patients, 12 patients each, were studied. Postoperative pain assessed with a subjective scale, return to the normal diet and regular activity, time required to perform the surgery as well as postoperative complications were compared and analyzed.
Results. Patients after coblation tonsillectomy experienced less pain (starting from the 2nd day after surgery) and were able to return to normal diet and normal activity in a shorter time (2-3 day after surgery compared to 6-7 day for the conventionally operated group). Post-operative bleeding was recorded in one of those patients.
Conclusions. Coblation tonsillectomy considerably reduces post-operative pain, enables patient’s quick return to normal activity and reduces the time of patient’s stay at hospital. It is a safe procedure, although it is not completely free from the risk of post-operative complications.

keywords: tonsillektomia klasyczna, koblacja, leczenie, powikłania,cold dissection tonsillectomy, coblation, treatment, complications

pages: from 81 to 85

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