Document Detail


A comparison of postoperative pain and complications in tonsillectomy using BiClamp forceps and electrocautery tonsillectomy.
MedLine Citation:
PMID:  18656720     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To compare the efficacy and safety of BiClamp forceps tonsillectomy (BT) with standard electrocautery tonsillectomy (ET) in terms of postoperative pain and complication rates. STUDY DESIGN: Prospective randomized study. SUBJECTS AND METHODS: The following variables were examined: postoperative complications, intraoperative blood loss, operating time, postoperative pain and diet scores using visual analog scales, and time until return to normal activity. RESULTS: The mean operating time and the grade of intraoperative blood loss were significantly lower in the BT group than in the ET group for both pediatric and adult patients. For adult patients, the overall complication rates were significantly lower in the BT group. In addition, a significant early decrease in the pain score and significant improvement in dietary intake until postoperative day 14 were observed in the BT group for both pediatric and adult patients. CONCLUSIONS: The use of BiClamp forceps in tonsillectomy reduces the intraoperative blood loss and postoperative pain score, and facilitates an early return to normal diet and activity.
Authors:
Seung Won Lee; Soo Sung Jeon; Jong Dae Lee; Jae Yong Lee; Shi Chan Kim; Yoon Woo Koh
Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery     Volume:  139     ISSN:  0194-5998     ISO Abbreviation:  Otolaryngol Head Neck Surg     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-07-28     Completed Date:  2008-09-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8508176     Medline TA:  Otolaryngol Head Neck Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  228-34     Citation Subset:  IM    
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Soonchunhyang University College of Medicine, Wonmi-Gu, Bucheon, Korea.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Child
Child, Preschool
Electrocoagulation*
Female
Humans
Infant
Male
Middle Aged
Pain Measurement
Pain, Postoperative / epidemiology
Postoperative Complications / epidemiology*
Prospective Studies
Surgical Instruments*
Tonsillectomy / instrumentation*,  methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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