Background: Tonsillectomy is usually indicated in patients with tonsillar stones. It is thought coblation
cryptolysis avoids the hazards related to monopolar bipolar diathermy and the regular cold surgical
technique. This study compared the peri-operative outcomes in patients with tonsillar stones submitted to
coblation cryptolysis, monopolar bipolar dissection, and cold dissection techniques. This randomized study
included 105 patients with tonsillar stones. The included patients comprised three groups: GI (n = 35) was
subjected to cold dissection, GII (n = 35) was subjected to monopolar bipolar diathermy tonsillectomy, and
GIII (n = 35) was subjected to coblation cryptolysis. Outcome parameters included operative time,
intraoperative bleeding, consumption of postoperative analgesia, and time to normal food intake.
Results: GIII patients experienced significantly shorter operative time, less intraoperative bleeding, less
consumption of postoperative analgesics, and less time to normal diet when compared with the other two
groups.
Conclusion: Coblation cryptolysis is a safe and effective technique in the management of tonsillar stones. It
appears to be superior to other surgical interventions. |
