Portal de Periódicos da CAPES

Pediatric Total Tonsillectomy Using Coblation Compared to Conventional Electrosurgery: A Prospective, Controlled Single‐Blind Study

2004; Wiley; Volume: 130; Issue: 6 Linguagem: Inglês

10.1016/j.otohns.2004.02.012

1097-6817

Kelly E. Stoker, Debra M. Don, D. Richard Kang, Michael Haupert, Anthony Magit, David N. Madgy,

Cleft Lip and Palate Research

OBJECTIVE Postoperative recovery after tonsillectomy using Coblation excision (CES) was compared with conventional electrosurgery (ES). STUDY DESIGN AND SETTING Patients aged 3 to 12 years from 3 clinical sites were randomly assigned and blinded to receive tonsillectomy using CES (n = 44) or ES (n = 45). RESULTS Operative parameters did not differ between groups. Return to normal diet, activity, and pain‐free status were similar, although fewer CES patients contacted the physician regarding postoperative complications (33% vs 54%; p = 0.081), experienced nausea (35% vs 62%, p = 0.013), or had localized site‐specific swelling ( p < 0.05) during the 2 weeks after surgery. In addition, CES children tended to discontinue prescription narcotics 1 day earlier than ES patients (7 vs 8 days, p = 0.071) and took one half as many daily doses. More CES than ES parents rated the postoperative experience as ‘better than expected’ (79% vs 60%, p = 0.055). CONCLUSION AND SIGNIFICANCE: Children who received CES tonsillectomy appeared to experience a better quality postoperative course, with no detriment to operative benefits of conventional electrosurgery. (Otolaryngol Head Neck Surg 2004;130: 666‐75.)