EVALUATION OF RESULTS OF COBLATOR INTRACAPSULAR TONSILLECTOMY IN CHILDREN WITH HYPERTROPHIC TONSILS
Main Article Content
Abstract
Intracapsular tonsillectomy is often indicated in children with hypertrophic tonsils having symptomatic obstructive sleep apnea (snoring, sleep apnea), and less suffering from tonsillitis. Coblator is a commonly used instrument for intracapsular tonsillectomy in the world. Our study included 100 cases of intracapsular tonsillectomy with coblator at National Otorhinoraryology Hospital in 2023 and were followed up for 1 year after surgery. Results: Average of operating time was 7,98+/-1,96 minutes, 100% patient loss less than 5ml ofc blood intraoperative. After surgery, 89,9% stopped sleep apnea from the 7th postoperative day. Most children had mild to moderate pain (>90%) at any postoperative time. The rate of postoperative hemorrhage was 2,9%. The rate of patients without tonsillitis within 1 year is 81,5% after surgery.
Article Details
Keywords
intracapsular tonsillectomy, hypertrophic tonsils, Coblator
References
2. Hoey AW, Foden NM, Hadjisymeou Andreou S, et al. Coblation® intracapsular tonsillectomy (tonsillotomy) in children: A prospective study of 500 consecutive cases with long‐term follow‐up. Clin Otolaryngol. 2017;42(6):1211-1217. doi:10. 1111/coa.12849
3. Powell S, Tweedie DJ, Jonas NE, Bateman ND, Keltie K, Sims AJ. Coblation intracapsular tonsillectomy: A cohort study of NHS practice in England using Hospital Episode Statistics. Clin Otolaryngol. 2022;47(3): 471-477. doi:10.1111/ coa.13929
4. Mitchell RB, Archer SM, Ishman SL, et al. Clinical Practice Guideline: Tonsillectomy in Children (Update). Otolaryngol Neck Surg. 2019;160(S1). doi:10.1177/0194599818801757
5. Hong SM, Cho JG, Chae SW, Lee HM, Woo JS. Coblation vs. Electrocautery Tonsillectomy: A Prospective Randomized Study Comparing Clinical Outcomes in Adolescents and Adults. Clin Exp Otorhinolaryngol. 2013;6(2):90. doi:10.3342/ceo. 2013.6.2.90
6. Trịnh Đình Hoa, Nguyễn Đình Bảng. “Đánh giá kết quả kỹ thuật cắt amiđan bằng đông điện lưỡng cực (bipolar) ở trẻ em”,.2004:Y học TP. Hồ Chí Minh.
7. Nguyễn Văn Toàn, Nguyễn Thị Hồng Loan, Lâm Huyền Trân. Đánh giá hiệu quả cắt Amidan trong bao bằng microdebrider tại Bệnh viện Nguyễn Tri Phương.2018.
8. Thompson G, Bateman N. How I do it: intracapsular coblation tonsillectomy. J Laryngol Otol. 2022;136(4):363-365. doi:10.1017/ S0022215122000044
9. Duarte VM, Liu YF, Shapiro NL. Coblation total tonsillectomy and adenoidectomy versus coblation partial intracapsular tonsillectomy and adenoidectomy in children. The Laryngoscope. 2014;124(8):1959-1964. doi:10.1002/lary.24632