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:5/26/2016)... ... 26, 2016 , ... Catalent Pharma Solutions, the leading global ... and global clinical supply services, today announced two key appointments and the opening ... and strategic growth plans in the Asia Pacific region. , Howard Kim has ...
(Date:5/26/2016)... CA (PRWEB) , ... May 26, 2016 , ... In an effort to provide hair ... available to both Snapchat users and those who do not use the app. Dr. Mohebi, ... his new page, Dr. Mohebi Live . , Dr. Mohebi says, “The positive ...
(Date:5/26/2016)... ... May 26, 2016 , ... ... for eating disorders, is opening a brand new child and adolescent residential treatment ... and their families with even more specialized eating disorder treatment and access to ...
(Date:5/26/2016)... ... May 26, 2016 , ... ... multitude of activities from daily practices, arts & crafts, discussions, and games all ... East-D’Anna and Christy Evans have combined backgrounds in kids’ yoga, collegiate sport yoga ...
(Date:5/26/2016)... ... May 26, 2016 , ... Eugene Batelli, ... Along with his wonderful accolades and stellar patient reviews, Dr. Batelli continues to ... , Dr. Eugene Batelli is a highly trained Podiatric Surgeon who specializes in ...
Breaking Medicine News(10 mins):
(Date:5/25/2016)... , May 25,2016 FDA ... near-infrared Cellvizio platform for urological and surgical applications ... MKEAY) inventor of Cellvizio®, the multidisciplinary confocal laser ... milestone in the US with the 12 th ... Drug Administration (FDA). This new FDA clearance covers ...
(Date:5/25/2016)... , Germany and GERMANTOWN, ... QIAGEN N.V. (NASDAQ: QGEN ; Frankfurt Prime Standard: ... licensing and co-development agreement with Therawis Diagnostics GmbH to develop ... be to develop and market PITX2 as a marker to ... high-risk breast cancer patients. "We are pleased to ...
(Date:5/25/2016)... According to market research "Global ... Demand Forecast to 2022 - Industry Insights by Type ... by P&S Market Research, the global insulin delivery device ... it is expected to grow at a CAGR of ... segment is expected to witness the fastest growth at ...
Breaking Medicine Technology: