Comparison of Posttonsillectomy Pain Using the Ultrasonic Scalpel, Coblator, and Electrocautery

• Stephen P. Parsons

  Department of Otolaryngology—Head and Neck Surgery Indiana University School of Medicine Indianapolis IN

• Susan R. Cordes

  Department of Otolaryngology—Head and Neck Surgery Indiana University School of Medicine Indianapolis IN

• Brett Comer

  Department of Otolaryngology—Head and Neck Surgery Indiana University School of Medicine Indianapolis IN

抄録

To compare postoperative tonsillectomy pain between 3 commonly used surgical devices: the Harmonic Ultrasonic Scalpel (Ethicon Endo‐Surgery, Cincinnati, OH), the Coblator (ArthroCare Corp, Sunnyvale, CA), and electrocautery. A prospective, randomized trial. One hundred thirty‐four patients were randomly assigned to receive a tonsillectomy with 1 of 3 surgical devices. All patients were asked to fill out a postoperative diary. Statistically significant differences in pain scores were revealed between the Coblator and electrocautery ( P = 0.02) and between the Coblator and the Ultrasonic Scalpel ( P = 0.003), with the Coblator having lower pain scores. Electrocautery and the Ultrasonic Scalpel did not differ significantly from each other. The Coblation method showed a strong trend toward quicker return to normal diet. Patients undergoing tonsillectomy with the Coblator device reported less pain over a 10‐day period than patients undergoing tonsillectomy with electrocautery or the Ultrasonic Scalpel. Pain after tonsillectomy remains a major issue for our patients. The choice of surgical instrument appears to be one way to reduce this pain. EBM rating: A‐1b

収録刊行物

• Otolaryngology–Head and Neck Surgery

  Otolaryngology–Head and Neck Surgery 134 (1), 106-113, 2006-01

  Wiley

キーワード

• Otorhinolaryngology
• Surgery

詳細情報

• CRID: 1363670320246067584
• NII論文ID: 30017104631
• DOI: 10.1016/j.otohns.2005.09.027
• ISSN: 10976817
• ISSN: 01945998
• Web Site: https://onlinelibrary.wiley.com/doi/pdf/10.1016/j.otohns.2005.09.027
• Web Site: https://onlinelibrary.wiley.com/doi/full-xml/10.1016/j.otohns.2005.09.027
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