Effect of diathermy on pain and healing in tonsillectomy, compared with other methods of haemostasis: a randomised study
Research output: Contribution to journal › Journal article › Research › peer-review
Objective:To compare three methods of haemostasis used for 'cold steel' tonsillectomy, in terms of pain scores and morbidity.Method and material:Prospective, randomised, single-blinded, controlled clinical study. Three haemostasis methods were compared: compression of the tonsillar fossae with gauze packs; bipolar diathermy; and local anaesthesia then pack compression. The outcome measures were pain scores (derived from a visual analogue scale), peri-operative bleeding, and post-operative episodes of blood-stained saliva, consultation rate, tonsillar bed healing and days before return to regular diet. One hundred and five patients were included.Results:Peri-operative bleeding was significantly reduced in the local anaesthesia group compared with the other two groups. Delayed post-operative tonsillar bed healing was noted in the diathermy group. No other significant differences were found between the three haemostasis groups, for any other outcome measures. The presence of blood-stained saliva was associated with higher pain scores.Conclusion:Diathermy and compression were associated with similar post-tonsillectomy morbidity
Udgivelsesdato: 2008/10/10
Udgivelsesdato: 2008/10/10
Original language | English |
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Journal | Journal of Laryngology and Otology |
Pages (from-to) | 1-8 |
Number of pages | 7 |
ISSN | 0022-2151 |
Publication status | Published - 2008 |
ID: 10948781