Navigation Links
Different tonsillectomy techniques may result in fewer complications
Date:5/31/2010

Alexandria, VA In a review of three different surgical techniques commonly used for tonsillectomy, the microdebrider technique (where a rotary cutting tool is used to shave tissue) had the lowest overall complication rate when compared to the other two techniques. The results are shown in new research published in the June 2010 issue of Otolaryngology Head and Neck Surgery.

Tonsillectomy is among the oldest and most commonly performed procedures in the pediatric population. Approximately 530,000 outpatient pediatric adenotonsillectomies (which include removal of the adenoids) are performed annually in U.S. hospitals. Despite the frequency of the procedure, there is no universally accepted "ideal" method. And although generally considered a safe procedure, tonsillectomy has significant potential for complications, especially in the pediatric population. Potential major complications include: post-operative hemorrhage, dehydration, and anesthetic and airway risks. Common post-operative complaints like odynophagia (painful swallowing), otalgia (ear pain), fever, and uvular swelling tend to prolong the pediatric patient's recovery.

The objective of the new study was to determine if surgical technique is associated with a patient experiencing post-surgical complications after undergoing adenotonsillectomy, and to identify patients who may be "at-risk" for major complications after such surgery.

The case-controlled study included 4,776 patients age 1 to 18 years, undergoing adenoidectomy, tonsillectomy, or adenotonsillectomy over a 36-month period. The three techniques compared were microdebrider, coblation (a controlled, non-heat-driven process using radiofrequency energy), or electrocautery (process of destroying tissue by heat conduction from an electrically heated metal probe).

Study results showed a statistically significant difference in the risks of developing a major complication of having a tonsillectomy with coblation, electrocautery, or microdebrider. The microdebrider had the lowest overall complication rate of 0.7 percent, versus that of the coblator, 2.8 percent, and electrocautery, 3.1 percent. The authors reported that those who had tonsillectomies via coblation were 3.9 times more likely to have complications than those who had tonsils removed via microdebrider. Additionally, complications for patients who had tonsillectomies via electrocautery were 4.4 times more likely than those who had tonsils removed via microdebrider.

"Questions will remain regarding what is the best procedure," said study author Craig S. Derkay, MD. "However, an important point is that that no matter which surgical technique was used for removal of the tonsils in the study, our results demonstrate an acceptable level of safety across all procedures."

In terms of risk factors for post-surgical complications, patient's age proved to be a significant aspect in their treatment and outcome following tonsillectomy. When looking at the average age of dehydration and post-tonsillectomy hemorrhage, the authors observed that the younger patients had more episodes of dehydration, while older patients tend to have more episodes of post-tonsillectomy hemorrhage.

The authors urge continued study in the area of adenotonsillectomy surgical techniques, but noted that the large cohort of patients in their study adds to the literature supporting the safety of intracapsular tonsillectomy.


'/>"/>

Contact: Jessica Mikulski
newsroom@entnet.org
703-535-3762
American Academy of Otolaryngology -- Head and Neck Surgery
Source:Eurekalert

Related medicine news :

1. Blood flows differently through the brains of schizophrenic patients
2. PET scanning probes reveal different cell function within the immune system
3. Same disease, different stem cell models
4. Brain Develops Differently in Fragile X Syndrome
5. Popular diabetes drug works differently than thought
6. 21st Century Leadership: New Book Shows Why it's Different and How it Can Transform People and Organizations
7. OTC Drugs May Work Differently in Obese Kids
8. Different strokes for married folks?
9. Clues Found to How Different Flu Vaccines Work
10. HCG True Diet Redesigns Its Website to Differentiate Its Brand from Competitors
11. Tahitian Noni Extra Released With 16 Different Iridoids
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/20/2017)... ... June 20, 2017 , ... John D'Eri, CEO of Rising ... in Adult Autism Award during the Autism Society of America 's 49th ... The Daniel Jordan Fiddle Foundation (DJFF) was founded in 2002 as the nation's ...
(Date:6/20/2017)... ... June 20, 2017 , ... ... bedside, would like to officially welcome Anthony Stanowski, DHA, FACHE to the MEDI+SIGN ... whose insight and expertise in healthcare will provide invaluable direction for the company,” ...
(Date:6/20/2017)... ... June 20, 2017 , ... The law firm of Momkus ... as the president of the DuPage County Bar Association’s Board of Directors. Cassioppi officially ... 9 at the Drake in Oak Brook. Momkus McCluskey Roberts LLC attorney Stacey A. ...
(Date:6/20/2017)... ... 20, 2017 , ... As part of an effort coordinated by more than ... has provided input to the U.S. Senate on health care reform. , The group ... E. Schumer (D - NY) and all other Senate members. This correspondence provides legislators ...
(Date:6/19/2017)... , ... June 19, 2017 , ... ... brand new operating rooms this month. These additions will expand the capabilities of ... state-of-the-art facilities. One operating room will be solely dedicated to pediatric operations, while ...
Breaking Medicine News(10 mins):
(Date:6/12/2017)... June 12, 2017 Kineta, Inc., a biotechnology company ... Kineta Vice President of R&D and Head of Virology ... Pandemic Preparedness for the Northwest and Beyond meeting sponsored ... June 14, 2017 from 8:30-10:30 AM PDT at the Agora ... Dr. Bedard will be joined by other leaders ...
(Date:6/8/2017)... Fla. , June 8, 2017  Less than ... that hit more than 200,000 companies, including hospital networks, ... being heralded as one of the largest online extortion ... in the healthcare market, it is imperative that providers ... protect their data from this — and many other ...
(Date:6/7/2017)... June 6, 2017  Diplomat Specialty Infusion Group, a brand of ... to its Iowa location. The ... now features an ISO 7 cleanroom—the standard needed to compound ... a low level of pollutants. ... consumers and better serve our Iowa patients," ...
Breaking Medicine Technology: