Optical magnification devices in tonsillectomy: a prospective randomised clinical study.
Eur Arch Otorhinolaryngol
; 272(10): 3031-7, 2015 Oct.
Article
em En
| MEDLINE
| ID: mdl-25245863
ABSTRACT
Tonsillectomy is one of the most common surgical procedure in otorhinolaryngology. A plethora of approaches has been undertaken so far to limit postoperative pain, one of the major problems patients are concerned with. Thermal damages of the surrounding tissue caused by coagulation during surgery are discussed to correlate with postoperative pain. Therefore, we studied whether the use of magnification devices reduced coagulation procedures and consequently limited post-operative pain. Following an intraindividual design, we performed tonsillectomy on one side using a microscope or magnifying glasses whereas the opposite side was operated with unsupported vision. As verified by a visual analogue scale, our study shows that neither the use of a microscope, nor the use of magnifying glasses leads to less post-operative pain. Other parameters like post-operative bleeding, duration of surgery, and total applied energy by bipolar coagulation were also comparable in the different treatment groups. Taken together, magnification-supported tonsillectomy does not seem to be appropriate for limiting complications of tonsillectomy, especially not for reducing post-operative pain.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Dor Pós-Operatória
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Tonsilectomia
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Hemorragia Pós-Operatória
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Hemostasia Cirúrgica
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Microscopia
Tipo de estudo:
Clinical_trials
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Diagnostic_studies
/
Etiology_studies
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Observational_studies
Limite:
Adolescent
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Adult
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Eur Arch Otorhinolaryngol
Ano de publicação:
2015
Tipo de documento:
Article