ARTHROCARE COBLATION PDF

Department of Otorhinolaryngology, "S. E-mail: ten. SUMMARY The aim of our study was to assess the efficacy and safety of endoscopic coblator adenoidectomy compared to cold curettage in paediatric patients. Forty homogeneous children years of age with adenoid hypertrophy were divided in 2 groups to receive adenoidectomy using cold curettage A or coblator B. After surgery the following outcomes were evaluated: pain score on first day, days reporting pain, analgesic days, liquid diet days, absent from school days, pain score, days with nausea, days with fever, endoscopic adenoid grade and intraoperative bleeding.

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Department of Otorhinolaryngology, "S. E-mail: ten. SUMMARY The aim of our study was to assess the efficacy and safety of endoscopic coblator adenoidectomy compared to cold curettage in paediatric patients. Forty homogeneous children years of age with adenoid hypertrophy were divided in 2 groups to receive adenoidectomy using cold curettage A or coblator B. After surgery the following outcomes were evaluated: pain score on first day, days reporting pain, analgesic days, liquid diet days, absent from school days, pain score, days with nausea, days with fever, endoscopic adenoid grade and intraoperative bleeding.

Forty days after surgery, basal rhinomanometry and nasal decongestion test were measured. The coblation group reported significantly less pain on the first post-operative day, days reporting pain, analgesic days, liquid diet days and absent school days. Patients in group A showed a higher grade of adenoid persistence by rhinoendoscopy, with high values of nasal resistances at the rhinomanometry even after nasal decongestion, consistent with greater adenoid persistence after cold curettage causing air flow obstruction even after turbinate decongestion.

Intra-operative bleeding during coblation was significantly less compared the group undergoing cold curettage. Coblator treatment significantly improved patient recovery compared to curettage.

Endoscopic coblation adenoidectomy ensures complete removal of adenoids and reduces postoperative adenoid grade. It can also be considered safer because it is under endoscopic control and can reach the cranial portion of the adenoid and its intranasal extension. Quaranta pazienti omogenei anni affetti da ipertrofia adenoidea sono stati suddivisi in due gruppi: pazienti sottoposti ad adenoidectomia con lama fredda Gruppo A o con coblator Gruppo B.

Il gruppo di pazienti operati con tecnica endoscopica coblator hanno riportato minor dolore in prima giornata postoperatoria, minor giorni di dolore, minor uso di antidolorifici, minor giorni di dieta liquida e minor assenza scolastica. Il gruppo di pazienti A trattati con curettage a lama fredda hanno riportato un maggior grado di persistenza adenoidea alla rinoendoscopia di controllo, con valori rinomanometrici di alte resistenze nasali anche dopo decongestione nasale.

Questi dati corrispondono alla maggiore persistenza adenoidea dopo curettage a lama fredda, che permane anche dopo test di decongestione dei turbinati. Il sanguinamento intraoperatorio con coblator era significativamente minore rispetto al gruppo A. La tecnica di adenoidectomia endoscopica coblator si prefigge come principale endpoint la rimozione completa delle adenoidi, con assenza di residuo postoperatorio, una maggiore sicurezza in quanto eseguita sotto controllo endoscopico, ed una completa asportazione del tessuto sino alla sua estensione craniale intranasale.

Introduction Tonsillectomy and adenoidectomy are two of the most commonly performed paediatric surgical procedures. As with all surgical interventions, tonsillectomy and adenoidectomy are associated with a variety of potential complications. Fortunately, for most children undergoing adenotonsillectomy, complications are rare 1 - 3. In the last few years, different adenoidectomy techniques have been proposed to reduce morbidity and surgical risk e.

Due to the large number of adenoidectomies performed, surgeons must lay particular attention to the safety, accuracy and outcomes when choosing among different surgical techniques.

In previous studies, it has been reported that coblation tonsillectomy is more effective compared to cold dissection, and coblation turbinoplasty also has a good efficacy in allergic rhinitis 7 8. The parents and the patient were blinded as to the surgical technique. All parents gave informed consent before inclusion in the study, which was approved by the local ethics committee.

Patient demographics of A and B groups were comparable with no statistically significant differences between groups Table II. Patients were assigned to the treatment group when they were scheduled for surgery, with alternative assignments to either surgical technique through the first 20 cases. The two surgical groups were homogeneous for age, sex, adenoid grade and rhinomanometry before and after nasal decongestion test NDT with nafazoline Table III.

After surgery, the following outcomes were evaluated: pain score on first day, days reporting pain, analgesic days paracetamol , liquid diet days, absent from school days, pain score days with pain only , days with nausea, days with fever, postoperative endoscopic adenoid grade and intraoperative bleeding.

Parents were also asked to report any bleeding episodes. During surgery intraoperative bleeding was assessed by measuring the volume of blood from the suction tube, and surgical time was recorded for each technique. Forty days after surgery, rhinomanometry before and after NDT were performed.

Rhinomanometry after NDT gave information regarding the influence of rhinopharyngeal obstruction on overall nasal patency. Table I.

INDICE CINTURA CADERA PDF

Indications de la technique de coblation en chirurgie des tissus mous

The plasma field remains at a relatively low temperature as it precisely ablates the targeted tonsil tissue. Surgeons and patients alike have searched for years for a better way to remove the tonsils. Because the tonsils are located in the throat, removing them with an electrosurgery device can often lead to painful damage of nearby tissue. This gives surgeons the ability to precisely remove targeted tonsil tissue while preserving the nearby healthy tissue.

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Paediatric adenoidectomy: endoscopic coblation technique compared to cold curettage

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