SYMPTOM SCORE IN POSTOPERATIVE TONSILLECTOMY PATIENTS USING COLD DISSECTION AND ELECTROCAUTERY METHOD

Dr Roshan Bonde; Dr Jeumon Talukdar; Dr Dhruba Jyoti Datta; Dr Abhishek Sahu

Volume : VII, Issue : VIII, August - 2017

SYMPTOM SCORE IN POSTOPERATIVE TONSILLECTOMY PATIENTS USING COLD DISSECTION AND ELECTROCAUTERY METHOD

Dr Roshan Bonde, Dr Jeumon Talukdar, Dr Dhruba Jyoti Datta, Dr Abhishek Sahu

Abstract :

Introduction– Tonsillectomy with or without adenoidectomy is one of the most commonly performed surgical procedures. Standard method of tonsillectomy is cold dissection. Other methods include tonsillectomy using monopolar or bipolar electrocautery, laser, harmonic scalpel, and bipolar radiofrequency. These newer techniques were developed to reduce the bleeding risk and post–operative pain but the same was not reported in various clinical studies.

Aims– A study was performed to compare the post–operative pain improvement in tonsillectomy patients using standard cold dissection and electrocautery method.

Settings and design–: A prospective study was done in patients with chronic tonsillitis dividing them into two group I and II.

Methods and material: Each group had 30 patients that underwent tonsillectomy using electrocautery and cold dissection method.

Results– In case of tonsillectomy using cold dissection method post–operative pain score on visual analogue scale was 67.33 % on post–operative day 1 and 14.67% on postoperative day 7 while in electrocautery method it was 82.67% on post–operative day 1 and 40% on postoperative day 7.

Conclusion– Patients treated with electrocautery method had more difficulty in food intake, required longer course of analgesics and in some cases antibiotics which adds to overall morbidity when compared to cold dissection method.