Tonsillectomy by Cold Dissection and Coblation Techniques: A Prospective Comparative Study

@article{Muthubabu2018TonsillectomyBC,
  title={Tonsillectomy by Cold Dissection and Coblation Techniques: A Prospective Comparative Study},
  author={K. Muthubabu and Assadi Rekha and Saai Ram Thejas and R. Vinayak and M. K. Srinivasan and S. Alagammai and S. Thushita Nivasini and S. Gayathri},
  journal={Indian Journal of Otolaryngology and Head \& Neck Surgery},
  year={2018},
  volume={71},
  pages={665-670}
}
Inflammatory and infectious diseases of tonsils are common in paediatric and adult otolaryngological practice and ensue in tonsillectomy which is a common surgical procedure. Dissection and snare method is being performed for ages and has evolved over a period of time while coblation is a newer technique started in 1997. It combines radiofrequency energy and normal saline, resulting in a plasma field of highly ionized particles which dissociates intercellular bonds and thus melts tissue at low… 
Traditional and Coblation Tonsillectomy in Pediatrics Population: A Comparative Study
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It is concluded that coblation tonsillectomy takes less operating time with less blood loss, also associated with less post-operative pain, less time taken to achieve normal diet and activities.
Hydrogen Peroxide as a Haemostatic Agent in Tonsillectomy Bleed: An Overview
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3% Hydrogen Peroxide is a potent agent for antimicrobial activity and haemostasis when introduced in the tonsillar fossa post tonsillectomy when used in moderation, it is very effective in preventing blood loss.
Costs and Charges for Pediatric Tonsillectomy in New York State
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TLDR
This prospective study compared intraoperative records and postoperative clinical outcomes in adolescents and adults following coblation and electrocautery tonsillectomies and found a tendency towards reduced pain and otalgia in the coblation group.
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At the department coblation tonsillectomy has been abandoned until further work into its safety has been published.
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TLDR
Coblation tonsillectomy is an easy to learn technique with significantly reduced operative blood loss and postoperative pain, and longer operative times maybe further reduced with experience.
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TLDR
Coblation was associated with less pain and quick return to normal diet and daily activity and this findings addressed coblation tonsillectomy as an advanced method.
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TLDR
A significant reduction in post-operative pain and more rapid healing of the tonsillar fossae were found in the side removed by tissue coblation, and this new technique for tonsil removal warrants further study.
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