Is Laser Better than Cold Steel (Dissection and Snare) for Tonsillectomy?

Autor: Ghiyali VS; Dept of Otolaryngology-Head and Neck Surgery (ENT), Indira Gandhi Medical College, Shimla, HP 171001 India., Minhas RS; Dept of Otolaryngology-Head and Neck Surgery (ENT), Indira Gandhi Medical College, Shimla, HP 171001 India., Azad RK; Dept of Otolaryngology-Head and Neck Surgery (ENT), Indira Gandhi Medical College, Shimla, HP 171001 India., Thakur JS; Dept of Otolaryngology-Head and Neck Surgery (ENT), Indira Gandhi Medical College, Shimla, HP 171001 India.
Jazyk: angličtina
Zdroj: Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India [Indian J Otolaryngol Head Neck Surg] 2023 Jun; Vol. 75 (2), pp. 343-346. Date of Electronic Publication: 2022 Nov 07.
DOI: 10.1007/s12070-022-03182-2
Abstrakt: Objective: To analyse the surgical outcome of CO 2 laser assisted tonsillectomy with the cold steel (conventional dissection and snare) tonsillectomy.
Materials and Methods: This prospective, non-randomised, single blind study was conducted in 25 cases suffering with recurrent tonsillitis. The left tonsillectomy was performed with CO 2 laser while the right tonsil was excised using cold steel method (conventional dissection and snare method). The surgical time, blood loss and post-operative pain for each method was recorded and analysed.
Results: CO 2 laser tonsillectomy had highly significant less intra-operative blood loss (41.8ml vs. 78.8ml with p = 0.001) and postoperative pain levels on postoperative day 1,3, and 5 ( p value of 0.013, 0.006 and 0.000 respectively) as compared to cold steel method. However; there was no statistically significant difference in operative time between the two techniques (p > 0.05).
Conclusion: CO 2 laser tonsillectomy appeared to be better technique than cold steel in terms of intra-operative haemorrhage and pain.
Competing Interests: 1. None of the author has potential conflict of interest and financial disclosures to make in the research work.
(© Association of Otolaryngologists of India 2022. Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.)
Databáze: MEDLINE
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