Laser versus dissection technique of tonsillectomy
Tonsillectomy is the single most common operation performed in Ear, Nose and Throat Department. Various methods of tonsillectomy have been practiced over the century aimed at reducing or eliminating intraoperative and postoperative morbidity. Due to various blood supplies received, intraoperative...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Malaysian Medical Association
2005
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/31316/ http://irep.iium.edu.my/31316/1/Tonsillectomy.pdf |
| Summary: | Tonsillectomy is the single most common operation performed in Ear, Nose and Throat Department. Various
methods of tonsillectomy have been practiced over the century aimed at reducing or eliminating intraoperative and
postoperative morbidity. Due to various blood supplies received, intraoperative bleeding is the most difficult
problem and securing it is time-consuming. The time taken to control the bleeding would invariably determine the
length of operation. Common postoperative complications are bleeding and pain. This study evaluated the
operative time, intraoperative blood loss, postoperative pain and other postoperative complications of tonsillectomy
performed by laser as compared to conventional dissection technique. This is a prospective randomized study
whereby sixty patients were divided into two groups of equal number. In one group, the tonsillectomy performed
by laser and in the other group the tonsillectomy performed by conventional dissection technique. Operative time
and amount of blood loss is significantly reduced in the laser group. Total postoperative pain and post operative
complications were not significantly different between the two groups. Tonsillectomy by using laser have shown
less intraoperative bleeding and shortened the operative time. In the hospital where laser machine and expertise
are available, it is justifiable to use this technique as effective method of performing tonsillectomy. |
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