| Subtotal bipolar tonsillectomy does not decrease postoperative pain compared to total monopolar tonsillectomy. | |
| | |
MedLine Citation:
|
PMID: 17521747 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To determine whether a subtotal bovie tonsillectomy decreases postoperative pain following adenotonsillectomy. METHODS: A prospective, randomized, double-blinded clinical trial was undertaken at a University Pediatric Children's Hospital and included 39 otherwise healthy children, aged 2-12 years, undergoing adenotonsillectomy. Patients were randomized to receive either a subtotal or total removal of the tonsils utilizing an electrocautery technique. The main outcome measures included a visual analog scale (VAS) at rest and while eating, time to take 100 cm(3) of fluid, throat, neck, and ear pain, quantity of liquids, activity level and incidence of emesis and retching. RESULTS: A repeated measures analysis using a repeated measures ANOVA failed to demonstrate a statistically significant impact with either treatment for VAS at rest or while eating (p=0.52 and 0.48, respectively). A repeated measures analysis did not show either procedure significantly affecting throat, neck or ear pain, or liquid quantity. Time to take 100 cm(3) liquids and the incidence of emesis or retching were found not to be statistically significantly different between the treatment groups. CONCLUSION: Subtotal tonsillectomy via an electrocautery technique does not reduce postoperative pain or improve outcome parameters. Subtotal tonsillectomy with this technique is not recommended for this patient population. |
| | |
Authors:
|
Albert Park; Matthew D Proctor; Stephen Alder; Harlan Muntz |
Related Documents
:
|
19369187 - Effect of intraoperative electroacupuncture on postoperative pain, analgesic requiremen... 23052987 - A double-blind comparative study of the safety and efficacy of caspofungin versus micaf... 23163547 - Gastrointestinal safety of nsaids and over-the-counter analgesics. 11928027 - Laparoscopic cholecystectomy. 15242437 - Anaesthesia in day case laparoscopic female sterilization: a comparison of two anaesthe... 21666557 - Surgical treatment for iv-degree hemorrhoids: ligasure™ hemorroidectomy vs. conventio... |
Publication Detail:
|
Type: Comparative Study; Journal Article; Randomized Controlled Trial Date: 2007-05-22 |
Journal Detail:
|
Title: International journal of pediatric otorhinolaryngology Volume: 71 ISSN: 0165-5876 ISO Abbreviation: Int. J. Pediatr. Otorhinolaryngol. Publication Date: 2007 Aug |
Date Detail:
|
Created Date: 2007-07-09 Completed Date: 2007-10-09 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8003603 Medline TA: Int J Pediatr Otorhinolaryngol Country: Ireland |
Other Details:
|
Languages: eng Pagination: 1205-10 Citation Subset: IM |
Affiliation:
|
Division of Otolaryngology and Pediatrics, University of Utah, Primary Children's Medical Center, Salt Lake City, UT 84113, USA. albert.park@ihc.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Child Child, Preschool Chronic Disease Double-Blind Method Female Humans Incidence Male Pain Measurement Pain, Postoperative / diagnosis, epidemiology, prevention & control* Prospective Studies Tonsillectomy / methods* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Toll-like receptor 3 (TLR3): a new marker of canine monocytes-derived dendritic cells (cMo-DC).
Next Document: Corticosterone fails to produce conditioned place preference or conditioned place aversion in rats.