Shadman Nemati1, Rahmatollah Banan, Abdorrahim Kousha. 1. Otolaryngology-Head and Neck Surgery Department and Research Center, Guilan University of Medical Sciences, Amiralmomenin Hospital, Rasht, Guilan, Iran.
Abstract
OBJECTIVE: To compare short- and long-term results of radiofrequency tonsillotomy and traditional cold dissection tonsillectomy in adult patients with recurrent tonsillitis. STUDY DESIGN: A randomized clinical trial. SETTING: A tertiary referral university hospital. SUBJECTS AND METHODS: Of 62 adults with recurrent tonsillitis, 24 patients were treated withcold dissection tonsillectomy, while radiofrequency tonsillotomy (RF) by use of radiofrequency induced thermotherapy probes was performed in the remaining 38 patients. Duration of surgery, amount of intraoperative bleeding, recovery time, postsurgical pain (measured by use of visual analogue scale on days 1, 3, 5, and 10 after surgery), dysphagia, weight loss, and time of return to normal diet and activity were measured. All the patients were followed for 12 to 24 months for recurrence of tonsillitis episodes. RESULTS: Comparing the radiofrequency tonsillotomy group to the cold dissection tonsillectomy group, mean duration of surgery was 16.89 versus 45.04 minutes, recovery time was 14.32 minutes versus 17.08 minutes, and amount of intraoperative bleeding was 15 to 20 cc versus 250 to 300 cc, respectively (P < 0.005). There was no difference between the two groups in the recurrence of tonsillitis episodes after 24 months. CONCLUSION:Tonsillotomy with radiofrequency is a simple, rapid, and effective method in adult patients with recurrent tonsillitis. 2010 American Academy of Otolaryngology-Head and Neck Surgery Foundation. Published by Mosby, Inc. All rights reserved.
RCT Entities:
OBJECTIVE: To compare short- and long-term results of radiofrequency tonsillotomy and traditional cold dissection tonsillectomy in adult patients with recurrent tonsillitis. STUDY DESIGN: A randomized clinical trial. SETTING: A tertiary referral university hospital. SUBJECTS AND METHODS: Of 62 adults with recurrent tonsillitis, 24 patients were treated with cold dissection tonsillectomy, while radiofrequency tonsillotomy (RF) by use of radiofrequency induced thermotherapy probes was performed in the remaining 38 patients. Duration of surgery, amount of intraoperative bleeding, recovery time, postsurgical pain (measured by use of visual analogue scale on days 1, 3, 5, and 10 after surgery), dysphagia, weight loss, and time of return to normal diet and activity were measured. All the patients were followed for 12 to 24 months for recurrence of tonsillitis episodes. RESULTS: Comparing the radiofrequency tonsillotomy group to the cold dissection tonsillectomy group, mean duration of surgery was 16.89 versus 45.04 minutes, recovery time was 14.32 minutes versus 17.08 minutes, and amount of intraoperative bleeding was 15 to 20 cc versus 250 to 300 cc, respectively (P < 0.005). There was no difference between the two groups in the recurrence of tonsillitis episodes after 24 months. CONCLUSION: Tonsillotomy with radiofrequency is a simple, rapid, and effective method in adult patients with recurrent tonsillitis. 2010 American Academy of Otolaryngology-Head and Neck Surgery Foundation. Published by Mosby, Inc. All rights reserved.
Authors: Justin E R E Wong Chung; Rozemarie van Geet; Noud van Helmond; Chloé Kastoer; Stefan Böhringer; Wilbert B van den Hout; Hendrik P Verschuur; Ferdinand A W Peek; Patrick F M Dammeijer; Gijs K A van Wermeskerken; Peter Paul G van Benthem; Henk M Blom Journal: JAMA Netw Open Date: 2022-02-01