Comparison of Three Tonsillectomy Techniques: Cold Dissection, Monopolar Electrocautery, and Coblation

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dc.authoridPamuk, Erim/0000-0002-8813-0357
dc.authoridKANDEMIR, SUHEYLA/0000-0003-3354-2212
dc.contributor.authorKandemir, Suheyla
dc.contributor.authorPamuk, Ahmet Erim
dc.contributor.authorOzel, Gokce
dc.contributor.authorSencan, Ziya
dc.date.accessioned2025-01-21T16:36:52Z
dc.date.available2025-01-21T16:36:52Z
dc.date.issued2023
dc.departmentKırıkkale Üniversitesi
dc.description.abstractIntroduction Tonsillectomy is among the most common otolaryngological surgeries. Objective To evaluate and compare three tonsillectomy techniques: cold steel dissection (CSD), monopolar electrocautery (MEC), and coblation. Methods The present study retrospectively reviewed the medical records of patients who underwent tonsillectomy between January 2014 and January 2016. Postoperative visual analog scale (VAS) pain scores, analgesic use, surgical duration, time to return to normal activity, and postoperative bleeding status were noted. Results The CSD group had less analgesic use and shorter return to normal activity than the MEC group ( p =0.037 and p <0.001, respectively). The coblation group had lower VAS pain scores than the MEC group only at 1hour to 4hours postsurgery ( p <0.016). The postoperative bleeding rate was similar in all groups ( p =0.096). Conclusion Cold steel dissection tonsillectomy is associated with less postoperative pain and shorter recovery than MEC. Coblation is better than MEC in terms of postoperative pain at 1hour to 4hours only, whereas CSD is associated with less postoperative pain than coblation at 2 days to 7 days.
dc.identifier.doi10.1055/s-0042-1758715
dc.identifier.endpage698
dc.identifier.issn1809-9777
dc.identifier.issn1809-4864
dc.identifier.issue4
dc.identifier.pmid37876704
dc.identifier.startpage694
dc.identifier.urihttps://doi.org/10.1055/s-0042-1758715
dc.identifier.urihttps://hdl.handle.net/20.500.12587/24399
dc.identifier.volume27
dc.identifier.wosWOS:001087984300024
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherGeorg Thieme Verlag Kg
dc.relation.ispartofInternational Archives of Otorhinolaryngology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20241229
dc.subjecttonsillectomy; coblator; cold steel dissection; monopolar cautery; postoperative pain
dc.titleComparison of Three Tonsillectomy Techniques: Cold Dissection, Monopolar Electrocautery, and Coblation
dc.typeArticle

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