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Journal of Research in Medical Sciences، جلد ۷، شماره ۴، صفحات ۰-۰
عنوان فارسی
چکیده فارسی مقاله
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عنوان انگلیسی POST TONSILLECTOMY MORBIDITIES: BIPOLAR ELECTROSURGICAL SCISSOR VS CLASSIC METHOD
چکیده انگلیسی مقاله Introduction . Tonsillectomy performed by a variety of techniques such as laser bipolor and monopolar electrodissetion and blunt dissection (classic method). Serious and lethal post operative complications secondary to tonsillectomy are related to bleeding and anesthesia. For this reason we have introduced a modified form of electrodissection tonsillectomy using bipolor scissor diathermy to compare the morbidities with classic method. Methods. One hundered patients (2 to 30 years old) candidate for tonsillectomy, were entered in a randomized controlled clinical trial to compare the post tonsillectomy morbidities. Fifty patients were operated with bipolar electrosurgical scissor and fifty patients with classic method. This study was performed in Kashani and Alzahra medical centers of Isfahan University. Patients with a positive history of bleeding tendency and tonsillectomy performed because of tonsillar cancer or uppp. uvulopalato pharyngoplasty) were excluded. Re suits. Bipolar electrosurgical scissor tonsillectomy significantly reduce intraoperative bleeding (3.1±4.5 mL) in comparison to classic method (70 ± 30.61 mL) (P 0.05). Bipolar tonsillectomy siqnificantly reduces the time of operation and anesthesia (7.3 ± 2.76 min VS 11.5 ± 3.29 min) (P < 0.001). Only 4 percent of electrodissection qroup and 70 percent of classic group was required to suturing in tonsillar bed (P < 0.001). Delayed otalgia in electrosurgical grbup was greater than classic group. Discussion. The most common cause of death in tonsillectomy is bleeding and anesthetic complication. We believe the bipolar electrosurgical tonsillectomy result in significantly reduce intraoperative blood loss and time of operation and .lesser need to sutring of tonsillor bed. Thus if we can reduce the post operotive otalgia in electrodissection method, this method will be the best technique of tonsillectomy in future.
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نویسندگان مقاله هاشمی | m hashemi
department of ent, school of medicine, isfahan university of medical sciences and health services, isfahan

سازمان اصلی تایید شده: دانشگاه علوم پزشکی اصفهان (Isfahan university of medical sciences)

a سلمانی | a salmani


m ابطحی | m abtahi


نشانی اینترنتی http://jrms.mui.ac.ir/index.php/jrms/article/view/3293
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده Original Articles
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