Comparative study of clinical outcomes following conventional versus laser assisted tonsillectomy
Introduction: A number of published studies have compared the KTP laser with standard dissection technique for tonsillectomy and safety of the laser is well described. This study aims to have a comprehensive insight into the comparative clinical outcomes for conventional tonsillectomy with KTP-532 laser assisted tonsillectomy.
Materials and Methods: Prospective, comparative study enrolling 60 patients with chronic adenotonsillitis who visited the department of ENT, NRI Medical college and General hospital of a Tertiary referral centre from June 2018 to July 2019. After confirming the diagnosis, the patients were subjected to a detailed history and clinical examination and the patients were divided into two groups – The patients (30 cases) in the first half of this period underwent conventional tonsillectomy whereas the rest (30 cases) underwent laser tonsillectomy. All patients in this study were assessed for operative time, blood loss, post-operative pain, tonsillar fossa healing and incidence of haemorrhage. The differences between studied groups less than 0.5 (p<0.05) considered significant statically.
Results: It was observed that total time taken for surgery, mean blood loss, intra-op blood loss, and post-op pain at Day 0 were comparatively less in Group B. While post-op pain at Day 14 was less in Group A. Moreover, Post -op Pain at Day 7, incidence of haemorrhage and healing of tonsillar fossa showed no significant difference in both groups.
Conclusion: Laser assisted tonsillectomy is a safe alternative to conventional tonsillectomy associated with low intraoperative bleeding and less time-consuming surgery when compared to conventional tonsillectomy.
2.Timms MS, Temple RH. Coblation tonsillectomy: a double blind randomized controlled study. J Laryngol Otol. 2002;116(6):450-452.doi:10.1258/00222150 2191 1031
3. Auf I, Osborne JE, Sparkes C, Khalil H. Is the KTP laser effective in tonsillectomy? Clin Otolaryngol Allied Sci. 1997;22(2):145-146. doi: https://doi.org/10.1046/j. 1365-2273.1997.d01-305.x
4. Kaluskar SK. KTP-532 laser tonsillectomy--a potential day-case procedure? J Laryngol Otol. 1996; 110(2):205-207. doi:10.1017/s0022215100133183
5. Elwany S, Nour YA, Magdy EA. Does laryngo-pharyngeal reflux affect healing and recovery after tonsillectomy? J Laryngol Otol. 2008;122(6):603-608. Epub 2007 Jul 11. doi:10.1017/S0022215107009760
6. Martinez SA, Akin DP. Laser tonsillectomy and adenoidectomy. Otolaryngol Clin North Am. 1987;20 (2):371-376.
7. Mohammadi G, Moghaddam YJ, Radfar R. CO2 laser tonsillectomy: A comparison with conventional technique. Rawal Med J. 2007;32(2):187-189.
8. Ishlah LW, Fahmi AM, Srinovianti N. Laser versus dissection technique of tonsillectomy. Med J Malaysia. 2005;60(1):76-80.
9.TugrulS, Degirmenci N, Eren SB, Dogan R, Veyseller B, Ozturan O. Analgesic effect of magnesium in post-tonsillectomy patients:a prospective randomised clinical trial. European Arch Oto-Rhino-Laryngology. 2015; 272 (9): 2483-2487. doi: 10.1007/ s00405-014-3219-8
10. Windfuhr JP, Schloendorff G, Baburi D, Kremer B. Lethal outcome of post-tonsillectomy hemorrhage. Arch Otorhinolaryngol. 2008;265(12):1527-1534 doi: 10.1007/s00405-008-0699-4
11. Saito T, Honda N, Saito H. Advantage and disadvantage of KTP-532 laser tonsillectomy compared with conventional method. Aur Nas Lary. 1999;26 (4):447-452. doi: 10. 1016/ S0385-8146 (99) 00025-5
12. Strunk CL, Nichols ML. A comparison of the KTP/ 532-laser tonsillectomy vs. traditional dissection/ snare tonsillectomy. Otolaryngol Head Neck Surg. 1990;103 (6): 966-971. doi:10.1177/ 019459 989010300614
Copyright (c) 2019 Author (s). Published by Siddharth Health Research and Social Welfare Society
This work is licensed under a Creative Commons Attribution 4.0 International License.