Document Detail


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
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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
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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


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