Microdebrider vs electrocautery: A comparison of tonsillar wound healing histopathology in a canine model

作者: Kaalan Johnson , Andrew Vaughan , Craig Derkay , J. Camille Welch , Alice Werner

DOI: 10.1016/J.OTOHNS.2007.11.016

关键词:

摘要: OBJECTIVE: To evaluate tonsillar wound healing histopathology in a canine model following microdebrider intracapsular and electrocautery tonsillectomy techniques. STUDY DESIGN: Randomized, controlled, single-blinded, paired comparison of histopathology. SUBJECTS AND METHODS: Twelve beagles underwent tonsillectomies by on one side the other. Punch biopsies were taken fossae postoperative days 3, 9, 20. Specimens graded with novel mucosal scale (inter-rater reliability, r = 0.83) appropriate statistical analysis performed. RESULTS: Combined scores showed significantly faster when compared to day 3 9 (P < 0.05), which equalized CONCLUSION: In healing, produced than early course. The "biologic dressing" theory may account for observed differences suggests mechanism improved clinical outcomes.

参考文章(18)
Charles D. Bluestone, Current indications for tonsillectomy and adenoidectomy. Annals of Otology, Rhinology, and Laryngology. ,vol. 101, pp. 58- 64 ,(1992) , 10.1177/00034894921010S112
J LIBOON, W FUNKHOUSER, D TERRIS, A comparison of mucosal incisions made by scalpel, CO2 laser, electrocautery, and constant-voltage electrocautery. Otolaryngology-Head and Neck Surgery. ,vol. 116, pp. 379- 385 ,(1997) , 10.1016/S0194-5998(97)70277-8
Peter J Koltai, C Arturo Solares, Edward J Mascha, Meng Xu, None, Intracapsular partial tonsillectomy for tonsillar hypertrophy in children Laryngoscope. ,vol. 112, pp. 17- 19 ,(2002) , 10.1002/LARY.5541121407
Akikatsu Kataura, Yasuyuki Doi, Eimei Narimatsu, Histological research concerning cryotonsillectomy in dogs. European Archives of Oto-rhino-laryngology. ,vol. 209, pp. 33- 45 ,(1975) , 10.1007/BF00454026
Matthew T. Lister, Michael J. Cunningham, Barry Benjamin, Michael Williams, Ann Tirrell, Debra A. Schaumberg, Christopher J. Hartnick, Microdebrider tonsillotomy vs electrosurgical tonsillectomy: a randomized, double-blind, paired control study of postoperative pain. Archives of Otolaryngology-head & Neck Surgery. ,vol. 132, pp. 599- 604 ,(2006) , 10.1001/ARCHOTOL.132.6.599
Peter J Koltai, C Arturo Solares, Jeffery A Koempel, Keiko Hirose, Tom I Abelson, Paul R Krakovitz, James Chan, Meng Xu, Edward J Mascha, Intracapsular tonsillar reduction (partial tonsillectomy): reviving a historical procedure for obstructive sleep disordered breathing in children Otolaryngology - Head and Neck Surgery. ,vol. 129, pp. 532- 538 ,(2003) , 10.1016/S0194-5998(03)00727-7
M. S. Volk, Z. Wang, M. M. Pankratov, D. F. Perrault, D. R. Ingrams, S. M. Shapshay, Mucosal Intact Laser Tonsillar Ablation Archives of Otolaryngology-head & Neck Surgery. ,vol. 122, pp. 1355- 1359 ,(1996) , 10.1001/ARCHOTOL.1996.01890240061013
Charles M. Mixson, Paul M. Weinberger, Mitchell B. Austin, Comparison of microdebrider subcapsular tonsillectomy to harmonic scalpel and electrocautery total tonsillectomy American Journal of Otolaryngology. ,vol. 28, pp. 13- 17 ,(2007) , 10.1016/J.AMJOTO.2006.06.002
Craig S. Derkay, Pediatric otolaryngology procedures in the United States: 1977–1987 International Journal of Pediatric Otorhinolaryngology. ,vol. 25, pp. 1- 12 ,(1993) , 10.1016/0165-5876(93)90004-M
Steven E. Sobol, Ralph F. Wetmore, Roger R. Marsh, Joanne Stow, Ian N. Jacobs, Postoperative recovery after microdebrider intracapsular or monopolar electrocautery tonsillectomy: a prospective, randomized, single-blinded study. Archives of Otolaryngology-head & Neck Surgery. ,vol. 132, pp. 270- 274 ,(2006) , 10.1001/ARCHOTOL.132.3.270