A Prospective Comparative study of Coblation Tonsillectomy and Conventional Tonsillectomy

INTRODUCTION: Despite the fact that tonsillectomy surgery is less common these days, it is still a common surgical treatment. Surgeons use a variety of methods (diathermy, LASER, cryo as well as coblation). ENT surgeons typically use the dissection and snare method among them. Due to the high expense of equipment alternative modalities are rarely employed. Many studies have shown favourable results using coblation tonsillectomy since the introduction of coblator. Tonsillectomy, in contrast to other surgical procedures, leaves an open incision that heals as a result of the secondary intention. AIM AND OBJECTIVES: 1. To systematically analyze and compare the advantages of Coblation Tonsillectomy and Conventional Tonsillectomy. 2. To compare the Complications and Difficulties of Coblation and Conventional Tonsillectomy. MATERIALS AND METHODS: Study Design: Cohort Study. Study Setting: Department of Otorhinolaryngology, Thanjavur Medical College, Thanjavur. Study Duration: January 2021 – September 2021. Study Subjects: The patients who are attending the OPD of Otorhinolaryngology with features of Chronic Tonsillitis. Inclusion Criteria: ● Chronic Tonsillitis Patients with Age more than 5 years. ● Chronic Tonsillitis Patients with Weight more than 20 kilograms. Exclusion criteria: ● Chronic Tonsillitis Patients with Age less than 5 years. ● Chronic Tonsillitis Patients with Weight less than 20 kilograms. ● Patients with Acute Tonsillitis. ● Patients with Unilateral Tonsillar Enlargement. ● Patients with Bleeding or Clotting Disorders, Cervical Spine Pathology. METHODOLOGY: It is a prospective cohort study analyzing 40 patients who were divided into 2 groups each group comprising of 20 patients each. Group I underwent Coblation tonsillectomy and group II underwent Conventional tonsillectomy. Results were analysed with regards to intraoperative bleeding, intraoperative time, post operative pain, and return to normalcy and duration of hospital stay. Each patient was admitted and underwent a series of routine blood tests, including a full blood count, a Renal function test, a bleeding and clotting time test, a urine routine analysis, an X-ray of the soft tissue neck, and a diagnostic nasal endoscopy to diagnose adenoids and serology. Every patient was given pre-operative antibiotics the day before surgery and was put under general anaesthesia for the procedure. On the table per operative time and amount of bleeding were noted. Post operatively all patients were given I.V. antibiotics on 1st day and oral antibiotics from next day for subsequent 3 days. Post operative pain using visual analogue scale, early diet intake, and return to normalcy and duration of hospital stay were recorded into statistical data and analysed. CONCLUSION: Coblation tonsillectomy, as opposed to Conventional tonsillectomy, is a safe and effective procedure. According to our findings, patients who underwent coblation tonsillectomy experienced significantly fewer postoperative discomfort and complications than those who underwent conventional tonsillectomy. Coblation tonsillectomy minimised the operating time, bleeding during surgery and discomfort following it. As an effective tonsillectomy technique, we endorse this technique