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<p>Tonsillectomy is one of the widely performed surgeries in the field of otolaryngology. It is more commonly performed in children with chronic tonsillitis, obstructive symptoms, and also as a part of other procedures. It has been performed by conventional dissection and snare method, radiofrequency, coblation method and more recently laser is being used. The method used is related to the postoperative morbidity and affects the overall outcome of the procedure. This study was conducted on 70 patients who were divided into 3 groups i.e., conventional, radiofrequency and coblation. All the patients were followed up for up to 1-week post-surgery. The parameters tested were the intraoperative bleeding, pain score at 6&#xa0;h and 24&#xa0;h post-surgery, assessment of tonsillar fossa was done at 6&#xa0;h and 7 days and assessment of swallowing was done at 6&#xa0;h, 24&#xa0;h and 1 week postoperatively. Intraoperative bleeding was significantly lower in the coblation group compared to radiofrequency and conventional group. The pain score was the least in radiofrequency group after 6&#xa0;h and 24&#xa0;h which was statistically significant. Coblation group could resume swallowing earlier compared to other groups. The tonsillar fossa was covered with maximum slough in the coblation group. Among the three types of tonsillectomy methods, coblation method was found to be associated with least intraoperative bleeding but with maximum tonsillar fossa slough. The radiofrequency group was associated with least pain following surgery.</p>

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A Comparative Study of Conventional, Radiofrequency and Coblation Assisted Tonsillectomy

  • 期刊论文

  • 发表日期：

    2025年12月29日

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  • Shibani Vittal Anchan,
  • Pooja G. Yadrami,
  • Raghunath Shanbag,
  • Roshan Ramachandra Jalisatgi,
  • Shanmukh Kamath,
  • Aishwarya Hegde

摘要

Tonsillectomy is one of the widely performed surgeries in the field of otolaryngology. It is more commonly performed in children with chronic tonsillitis, obstructive symptoms, and also as a part of other procedures. It has been performed by conventional dissection and snare method, radiofrequency, coblation method and more recently laser is being used. The method used is related to the postoperative morbidity and affects the overall outcome of the procedure. This study was conducted on 70 patients who were divided into 3 groups i.e., conventional, radiofrequency and coblation. All the patients were followed up for up to 1-week post-surgery. The parameters tested were the intraoperative bleeding, pain score at 6 h and 24 h post-surgery, assessment of tonsillar fossa was done at 6 h and 7 days and assessment of swallowing was done at 6 h, 24 h and 1 week postoperatively. Intraoperative bleeding was significantly lower in the coblation group compared to radiofrequency and conventional group. The pain score was the least in radiofrequency group after 6 h and 24 h which was statistically significant. Coblation group could resume swallowing earlier compared to other groups. The tonsillar fossa was covered with maximum slough in the coblation group. Among the three types of tonsillectomy methods, coblation method was found to be associated with least intraoperative bleeding but with maximum tonsillar fossa slough. The radiofrequency group was associated with least pain following surgery.