How to Get a Comfortable Tonsillectomy? | ||
| The Egyptian Journal of Hospital Medicine | ||
| Volume 100, Issue 1, July 2025, Pages 4215-4218 PDF (292.44 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2025.452162 | ||
| Abstract | ||
| Background: The whole removal of the tonsil and its capsule from the peritonsillar region is known as a tonsillectomy. Complications during and after surgery are also linked to tonsillectomy. Objectives: This study aimed to evaluate preventative measures for tonsillectomy complications. Patients and methods: This retrospective analysis was conducted on 400 tonsillectomy cases who were Egyptian pediatrics. According to tonsillectomy techniques, cases were split into two cohorts: cohort 1 (n= 200) had cold steel dissection, while cohort 2 (n= 200) received bipolar diathermy. Careful dissection, the absence of sepsis, early gargling (aspirin gargling), and consuming lots of fluids can all help prevent sore throats after tonsillectomy. It is important to encourage cases to speak in their own voice. Semiliquids, ice cream, jellies, and junk food are said to be among the most soothing since they readily slide down the throat. Results: Compared to bipolar diathermy, cold steel dissection had a considerably longer operating time (P<0.001). Compared to bipolar diathermy, cold steel dissection caused substantially more hemorrhage (P<0.001). Bipolar diathermy caused much more pain than cold steel dissection (P<0.001). Compared to cold steel dissection, bipolar diathermy had a significantly increased infection rate (P<0.001) and caused noticeably more tissue injury (P<0.001). Conclusion: With a longer operation duration and a higher rate of bleeding in cold steel dissection, our research demonstrated the notable variations in surgical outcomes between bipolar diathermy and cold dissection in tonsillectomy. The bipolar diathermy cohort had markedly higher levels of pain, infection, and tissue damage. | ||
| Keywords | ||
| Comfortable tonsillectomy; Cold steel dissection; Bipolar diathermy; Complications | ||
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