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

  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},
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
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
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
It was found that the costs and charges for inpatient pediatric tonsillectomy were significantly correlated with discharge year, APR severity of illness, length of hospital stay, location of the hospital, and primary payer.


Coblation vs. Electrocautery Tonsillectomy: A Prospective Randomized Study Comparing Clinical Outcomes in Adolescents and Adults
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Paediatric tonsillectomy: bipolar electrodissection and dissection/snare compared.
  • Y. Pang
  • Medicine
    The Journal of laryngology and otology
  • 1995
There was no measurable difference in analgesia requirements before discharge and the time of discharge between the two methods, and there is a statistically significant shorter operating time and lower intraoperative blood loss using the bipolar diathermy technique.
Traditional tonsillectomy compared with bipolar radiofrequency thermal ablation tonsillectomy in adults: a pilot study.
Bipolar radiofrequency thermal ablation and traditional tonsillectomy were associated with similar postoperative morbidity and there was a statistically significant but clinically insignificant difference in operating time and intraoperative blood loss in favor of the traditional tonsilelectomy group.
Tonsillectomy in children.
Tonsillectomy is one of the most frequently performed interventions in children but should be considered with care, as life-threatening complications can occur.
Increased post-operative haemorrhage seen in adult coblation tonsillectomy
At the department coblation tonsillectomy has been abandoned until further work into its safety has been published.
A Prospective, Randomized, Double-Blind Study of Coblation versus Dissection Tonsillectomy in Adult Patients
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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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.
Assessment of Operative Blood Loss and the Factors Affecting it in Tonsillectomy and Adenotonsillectomy
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  • Medicine
    Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India
  • 2011
It was found that blood loss in tonsillectomy and adenotonsillectome depended on various factors like age, sex, the type of tonsillitis, method of dissection, hemoglobin concentration, clotting time and the use of antibiotics.
Coblation tonsillectomy: a double blind randomized controlled study
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.