Servet ERDEMES, Alper ŞEN, Ahmet YÜKKALDIRAN, Osman ERDOĞAN

Pediyatrik tonsillektomide dört farklı tekniğin karşılaştırılması

Amaç: Bu çalışmamızda tonsillektomi yöntemlerinin operasyon süreleri intraoperatif kanama postoperatif tam iyileşme süresi, postoperatif ağrı açısından karşılaştırırken uygun tonsillektomi tekniğini tespit etmeyi amaçladık.Gereç ve Yöntem: Harran Üniversitesi Tıp Fakültesi Kulak Burun Boğaz hastalıkları polikliniğinde 1 Ocak 2017 ile 31 Temmuz 2018 tarihleri arasında başvuran ve tonsillektomi ameliyatı uygulanan 160 pediatrik hasta çalışmaya dahil edildi.Bulgular: Çalışmaya alınan tüm hastalar randomize olarak 4 gruba (soğuk diseksiyon, bipolar koter, koblatör ve termal welding) ayrıldı. Ameliyat süresi, ameliyat sırasındaki kan kaybı ve postoperatif komplikasyonlar kaydedildi.Sonuç: Çalışma sonucunda termal welding ile yapılan operasyonlarda cerrahi süre daha kısaydı. İntraoperatif kanama, postoperatif ağrı termal welding tekniğinde diğer tekniklere göre daha az olduğu tespit edildi. Ayrıca normal diyete ve normal aktiviteye dönüş zamanı en kısa olarak termal welding yönteminde tespit edildi.

Anahtar Kelimeler:

Tonsillektomi, Kanama, Ağrı, Bipolar, Koblatör, Termal welding, Künt disseksiyon

Comparison of four different techniques in pediatric tonsillectomy

Aim: In this study, we aimed to determine the appropriate tonsillectomy technique by comparing tonsillectomy methods in terms of duration of surgery, intraoperative bleeding, postoperative recovery time, and postoperative pain.Materials and Methods: 160 pediatric patients who had tonsillectomy at Harran University Faculty of Medicine Department of Otolaryngology between January 1, 2017 and July 31, 2018 were included in this study. Results: Patients were randomly divided into 4 groups based on the techniques used (cold dissection, bipolar cautery, coblation, and thermal welding). The surgery time, blood loss during surgery, and postoperative complications were recorded.Conclusion: We found that the surgery time was shorter in the surgeries performed with thermal welding. Intraoperative hemorrhage, postoperative pain were lower in thermal welding technique. To return to normal diet and normal activity was determined as soon as possible in thermal welding method.

Keywords:

Tonsillectomy, Bleeding, Pain, Bipolar, Coblator, Thermal welding, Blunt dissection,

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