Morbidity after paediatric tonsillectomy: Comparing cold and bipolar dissection

Authors

  • Ines Faria Gambôa Serviço de Otorrinolaringologia - Hospital Pedro Hispano
  • Nuno Ribeiro Costa Serviço de Otorrinolaringologia - Hospital Pedro Hispano
  • Delfim Duarte Serviço de Otorrinolaringologia - Hospital Pedro Hispano
  • Nuno Oliveira Serviço de Otorrinolaringologia - Hospital Pedro Hispano

DOI:

https://doi.org/10.34631/sporl.676

Keywords:

Amigdalectomia, Dor, Crianças, Disseção a frio, Disseção com bipolar

Abstract

Objectives: The purpose of this study is to evaluate and compare the post-operative morbilities with cold dissection (CD) and bipolar dissection (BD) in pediatric tonsillectomy.

Methods: This is a prospective study including children aged 3-10 years old, undergoing tonsillectomy by a single surgeon from February 2015 to June 2016. Patients were alternately selected to CD group or BD group. Pain, complications, number of days with analgesic use and in liquid diet were recorded and compared.

Results: There were 60 children included in the study, 30 in each group. There was no statistically significant difference in pain scores at days 1, 5 and 10 after surgery, in number of days with analgesic use nor in liquid diet for both groups. Three patients in each group had post-surgery complications.

Conclusion: Morbilities results suggest that BD tonsillectomy is similar to CD tonsillectomy in children.

Author Biographies

Ines Faria Gambôa, Serviço de Otorrinolaringologia - Hospital Pedro Hispano

Serviço de Otorrinolaringologia - Hospital Pedro Hispano

Nuno Ribeiro Costa, Serviço de Otorrinolaringologia - Hospital Pedro Hispano

Serviço de Otorrinolaringologia - Hospital Pedro Hispano

Delfim Duarte, Serviço de Otorrinolaringologia - Hospital Pedro Hispano

Serviço de Otorrinolaringologia - Hospital Pedro Hispano

Nuno Oliveira, Serviço de Otorrinolaringologia - Hospital Pedro Hispano

Serviço de Otorrinolaringologia - Hospital Pedro Hispano

References

Sadikoglu F, Kurtaran H, Ark N, Ugur KS, et al. Comparing the effectiveness of "plasma knife" tonsillectomy with two well established tonsillectomy techniques: cold dissection and bipolar electrocautery. A prospective randomized study. Int J Pediatr Otorhinolaryngol. 2009 Sep;73(9):1195-8

D'Agostino R, Tarantino V, Calevo MG. Blunt dissection versus electronic molecular resonance bipolar dissection for tonsillectomy: operative time and intraoperative and postoperative bleeding and pain. Int J Pediatr Otorhinolaryngol. 2008;72:1077-84

Raut VV, Bhat N, Sinnathuray AR, Kinsella JB, et al. Bipolar scissors versus cold dissection for pediatric tonsillectomy—a prospective, randomized multiunit study. Int J Pediatr Otorhinolaryngol. 2002;64:9-15

Curtin JM. The history of tonsil and adenoid surgery. Otolaryngol Clin North Am 1987;20:415–419

Silveira H, Soares JS, Lima HA. Tonsillectomy: cold dissection versus bipolar electrodissection. Int J Pediatr Otorhinolaryngol. 2003;67:345-51

Hesham A. Bipolar diathermy versus cold dissection in paediatric tonsillectomy. Int J Pediatr Otorhinolaryngol. 2009;73:793-5

MacGregor FB, Albert DM, Bhattacharyya AK. Post-operative morbidity following paediatric tonsillectomy; a comparison of bipolar diathermy dissection and blunt dissection. Int J Pediatr Otorhinolaryngol 1995;31:1-6

Kirazli T, Bilgen C, Midilli R, Ogüt F, et al. Bipolar electrodissection tonsillectomy in children. Eur Arch Otorhinolaryngol. 2005;262:716-8

Nunez DA, Provan J, Crawford M. Postoperative tonsillectomy pain in pediatric patients. Arch Otolaryngol Head Neck Surg 2000;126:837–841

Wexler DB. Recovery after tonsillectomy: electrodissection vs. sharp dissection techniques. Otolaryngol Head Neck Surg. 1996;114:576-81

Nafiu OO, Chimbira WT, Woolford SJ, Tremper KK, et al. Does high BMI influence hospital charges in children undergoing adenotonsillectomy? Obesity (Silver Spring). 2008;16:1667-71.

Nafiu OO, Shanks A, Abdo S, Taylor E, et al. Association of high body mass index in children with early post-tonsillectomy pain. Int J Pediatr Otorhinolaryngol. 2013;77:256-61.

Baugh RF, Archer SM, Mitchell RB, Rosenfeld RM, et al. Clinical practice guideline: tonsillectomy in children. Otolaryngol Head Neck Surg. 2011;144(1 Suppl):S1-30

Tay HL. Post-operative morbidity in electrodissection tonsillectomy. J Laryngol Otol 1995;109:209–211

Di Rienzo Businco L, Coen Tirelli G. Paediatric tonsillectomy: radiofrequency-based plasma dissection compared to cold dissection with sutures. Acta Otorhinolaryngol Ital 2008;28:67-72

Soy FK, Dündar R, Yazici H, Kulduk E, et al. Bipolar cautery tonsillectomy using different energy doses: pain and bleeding. Int J Pediatr Otorhinolaryngol. 2014;78:402-6

Published

2017-12-24

How to Cite

Gambôa, I. F., Ribeiro Costa, N., Duarte, D., & Oliveira, N. (2017). Morbidity after paediatric tonsillectomy: Comparing cold and bipolar dissection. Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery, 55(1), 9–13. https://doi.org/10.34631/sporl.676

Issue

Section

Original Article