Comparison of Postoperative Pain in Children with Two Intracapsular Tonsillotomy Techniques and a Standard Tonsillectomy Microdebrider and radiofrequency tonsillotomies versus standard tonsillectomies
Journal Title: Sultan Qaboos University Medical Journal - Year 2014, Vol 14, Issue 4
Abstract
Objectives: Te aim of this study was to compare the duration and severity of postoperative pain for two different tonsillotomy techniques (radiofrequency [RF] and microdebrider [MD]) with the standard tonsillectomy. Methods: Tis non-randomised retrospective study, carried out from February 2011 to September 2012, investigated 128 children in two independent centres: Heim Pál Children’s Hospital in Budapest, Hungary, and Muscat Private Hospital in Muscat, Oman. Tose undergoing conventional tonsillectomies acted as the control group. One centre tested the MD technique (n = 28) while the other centre tested the RF technique (n = 31). Results: Te pain-free period after the tonsillotomies was similar between the two techniques and ranged up to three days. Other indicators of pain resolution, like the use of a single analgesic, reduced night-time waking and the time taken to resume a normal diet, were also similar for the two groups. However, patients benefted signifcantly from having a tonsillotomy rather than a tonsillectomy. Conclusion: Te partial resectioning of tonsillar tissue using the MD and RF techniques showed promising outcomes for a better postoperative quality of life when compared to a traditional tonsillectomy. In this study, the results of both the MD and RF tonsillotomy methods were almost identical in terms of the duration of postoperative pain and recovery time.
Authors and Affiliations
Levente Deak| Department of Ear, Nose & Troat, Al Zahra Hospital, Dubai, United Arab Emirates, David Saxton| Department of Ear, Nose & Troat, Al Zahra Hospital, Dubai, United Arab Emirates, Keith Johnston| Department of Anaesthesia & Critical Care, Muscat Private Hospital, Muscat, Oman, Palma Benedek| Department of Oto-Rhino-Laryngology & Bronchology, Heim Pál Children's Hospital, Budapest, Hungary, Gábor Katona| Department of Oto-Rhino-Laryngology & Bronchology, Heim Pál Children's Hospital, Budapest, Hungary
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