Otolaryngology: Open Access
Open Access

Abstract

The objective of this study was to evaluate and compare microsurgical bipolar dissection tonsillectomy (MBDT) with traditional cold steel dissection tonsillectomy (CSDT). This was a comparative interventional study carried out in the otolaryngology department of a tertiary referral institute. In total, 60 patients planned for tonsillectomy were included in the study and were randomly divided into two groups. The results were compared in terms of operative time, intra-operative blood loss and postoperative pain and morbidity including the time taken for resumption of oral feeding and the amount of slough formation and edema observed at various times postoperatively. Mean operative time in the CSDT group (23.35�?±7.10 min) was significantly longer (p<0.001) than in the MBDT group (13.90�?±4.10 min). Intraoperative blood loss was significantly lower in the MBDT group (9.77�?±4.10 ml) when compared with the CSDT group (33.45�?±8.54 ml) (p<0.001). Early postoperative pain and time to resumption of first oral intake were lower in the MBDT group, though the differences were not statistically significant (p>0.05). Late postoperative pain measured on day 7 and time to resumption of a normal diet were not significantly higher in the MBDT group. No difference was found between the two techniques in terms of postoperative hemorrhage. No major complications occurred in either group. MBDT reduces operative time and intraoperative blood loss by providing better visualization of blood vessels under microscopic vision and combines the advantage of hemostatic cautery dissection and vessel coagulation. This, along with no significant difference in postoperative pain and morbidity, makes this technique particularly advantageous especially in the pediatric population with a low circulation volume.

Biography

Email: drashishvashishth@gmail.com