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International Bulletin of Otorhinolaryngology

Assessment of postoperative pain and foreign body sensation between two surgical methods coblator-assisted tonsillectomy versus conventional method

St. Konsulov, Sp. Konsulov, K. Dzhambazov, P. Kopanov

Abstract

The tonsillectomy is one of the most common surgical procedure in the world. One of the commonest complications after the surgery are postoperative bleeding and postoperative pain. In relation with these
complains and complications the patients have difficult recovery significant
sensation of pain and foreign body sensation. The coblation–assisted tonsillectomy is fairly new surgical method and the focus is in the specific aspects of the surgical techniques and postoperative complications. In our prospective comparative study we include 60 patients divided equally: 30 surgically treated with the coblation method and 30 with conventional method. The average age of the participants is 6,87±3,01 in the first group and 8,16±4,74 in the second group. We compare the postoperative pain and the foreign body sensation in both groups. We measured the postoperative pain using Wong-Baker visual analogue scale with face images (0-no pain; 10-hurts worst). We measured the pain on the 1st – 2nd and 7th day after the surgery. We found statistically significant difference (p-value <0.0005) according to this parameter in both groups. In all of the three days after the surgery the pain is less intensive in the coblation group. Regarding the postoperative pain we found statistically
significant differences between both methods in favor of coblatorassisted
tonsillectomy (p-value- 0.0002).

Keywords

tonsillectomy, coblator assisted tonsillectomy, postoperative pain, foreign body sensation

Full Text


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DOI: http://dx.doi.org/10.14748/orl.v13i2.6812

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