Comparison of microdebrider subcapsular tonsillectomy to harmonic scalpel and electrocautery total tonsillectomy
作者： Charles M. Mixson , Paul M. Weinberger , Mitchell B. Austin
DOI: 10.1016/J.AMJOTO.2006.06.002
关键词:
摘要: Abstract Objective The aim of this study was to compare microdebrider subcapsular tonsillectomy (MST) with total tonsillectomies either by harmonic scalpel (TTH) or electrocautery (TTE) in children obstructive sleep-disordered breathing from tonsillar hypertrophy. Design Retrospective review prospectively collected data. Setting Tertiary academic hospital. Patients Eighty consecutive hypertrophy who underwent MST between January and April 2003 were compared a smaller historical cohort 25 patients TTEs TTHs December 2001. Main outcome measures Primary: days no narcotic pain medicine use solid food intake; secondary: estimated blood loss, surgical time, postoperative complications. Results Fifty-four MSTs met criteria for 79 patients. cohorts showed significant demographic differences groups. group had significantly shorter duration (3.7 ± 0.5 days) than the TTE (7.0 0.6 TTH groups (6.8 0.7 days; P = 0.004). There higher loss (38.8 6.1 mL) (19 mL 8.2) (15.1 7.4 mL; .018). Conclusion Microdebrider is valuable treatment because decreased more rapid return food.
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sci-hub.se 参考文章(18)
E H Ling, Y P Krespi, Laser-assisted serial tonsillectomy. Journal of Otolaryngology. ,vol. 23, pp. 325- 327 ,(1994)
Richard M. Rosenfeld, Robert P. Green, Tonsillectomy and Adenoidectomy: Changing Trends: Annals of Otology, Rhinology, and Laryngology. ,vol. 99, pp. 187- 191 ,(1990) , 10.1177/000348949009900305
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
Jeffrey A. Koempel, On the origin of tonsillectomy and the dissection method. Laryngoscope. ,vol. 112, pp. 1583- 1586 ,(2002) , 10.1097/00005537-200209000-00009
Lionel M. Nelson, Radiofrequency treatment for obstructive tonsillar hypertrophy. Archives of Otolaryngology-head & Neck Surgery. ,vol. 126, pp. 736- 740 ,(2000) , 10.1001/ARCHOTOL.126.6.736
Arne Linder, Agneta Markström, Elisabeth Hultcrantz, Using the carbon dioxide laser for tonsillotomy in children International Journal of Pediatric Otorhinolaryngology. ,vol. 50, pp. 31- 36 ,(1999) , 10.1016/S0165-5876(99)00197-4
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
Kay W. Chang, Randomized controlled trial of Coblation versus electrocautery tonsillectomy. Otolaryngology-Head and Neck Surgery. ,vol. 132, pp. 273- 280 ,(2005) , 10.1016/J.OTOHNS.2004.11.002
M.J. Egger, M.L. Coleman, J.R. Ward, J.C. Reading, H.J. Williams, Uses and abuses of analysis of covariance in clinical trials. Controlled Clinical Trials. ,vol. 6, pp. 12- 24 ,(1985) , 10.1016/0197-2456(85)90093-5
Elisabeth Hultcrantz, Arne Linder, Agneta Markström, Long-term effects of intracapsular partial tonsillectomy (tonsillotomy) compared with full tonsillectomy. International Journal of Pediatric Otorhinolaryngology. ,vol. 69, pp. 463- 469 ,(2005) , 10.1016/J.IJPORL.2004.11.010