Temperature-controlled radiofrequency-assisted endoscopic tonsillectomy and adenoidectomy in children.
- Author:
Xiaoli ZHU
1
;
Hua YANG
;
Xiaowei CHEN
;
Yi JIN
;
Yue FAN
Author Information
1. Department of Otorhinolaryngology, Peking Union Medical College Hospital, Beijing, 100730, China. zhuxiaolipumc@gmail.com
- Publication Type:Journal Article
- MeSH:
Adenoidectomy;
methods;
Child;
Child, Preschool;
Endoscopy;
Female;
Humans;
Hypothermia, Induced;
Male;
Retrospective Studies;
Tonsillectomy;
methods;
Treatment Outcome
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2011;25(12):551-553
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To compare the outcomes of temperature-controlled radiofrequency-assisted endoscopic tonsillectomy and adenoidectomy (rT + A) and conventional tonsillectomy and adenoidectomy (cT + A) in children.
METHOD:Forty-seven children who were with hypertrophy of both tonsils and adenoid and underwent tonsillectomy and adenoidectomy were retrospectively studied. There are 24 patients underwent rT + A and 23 patients underwent cT+A. Data of surgery time, bleeding volume, duration of postoperative pain and duration of postoperative pseudomembrane were collected and analysed. Hearing and disease-specific quality-of-life questionnaire (OSA-18) were analysed.
RESULT:Surgery times of rT + A are statistically shorter than those of cT + A, bleeding volumes of rT + A are significantly less than those of cT + A. There are no differences of the duration of postoperative pain and duration of pseudomembrane between these two groups. Hearings were increased to normal in all conductive hearing loss patients. OSA-18 scores were declined significantly in rT + A group than cT + A.
CONCLUSION:Temperature-controlled radiofrequency-assisted endoscopic operation can reduce bleeding volume and shorten surgery time without more pain or injury to patients, and the effect is satisfactory.
