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Microdebrider-assisted partial tonsillectomy: Short- and long-term outcomes

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dc.contributor.author Bitar M.A.
dc.contributor.author Rameh C.
dc.contributor.editor
dc.date Apr-2008
dc.date.accessioned 2017-10-05T15:50:29Z
dc.date.available 2017-10-05T15:50:29Z
dc.date.issued 2008
dc.identifier 10.1007/s00405-007-0462-2
dc.identifier.isbn
dc.identifier.issn 09374477
dc.identifier.uri http://hdl.handle.net/10938/18887
dc.description.abstract Microdebrider-assisted partial tonsillectomy has gained popularity in recent years. However, no prospective long-term follow-up exists in the literature and the risk of increase in tonsillitis is still a concern. We conducted a prospective randomized controlled study to assess the short-term benefits of microdebrider-assisted partial tonsillectomy (group 1) compared to electrocautery-assisted total tonsillectomy (group 2), to monitor the durability of the improvement and watch for any change in the rate of tonsillitis. Patients with symptomatic tonsillar hyperplasia were included and underwent either technique of tonsillar surgery. Duration of operation, amount of intra-operative blood loss, immediate and late complications, postoperative pain, return to normal activity and diet, and relief of obstructive symptoms were measured. Recurrence of symptoms and change in rate of tonsillitis in group1 were monitored. We studied 143 patients, 77 in group1 and 66 in group2. There was no significant difference in the surgical time (P 0.05) or postoperative bleeding (P 0.05) but more blood loss in group1 (P 0.05) and more dehydration in group2 (P 0.05) were encountered. All patients had complete relief of symptoms. Group1 returned earlier to normal activity (2.19 vs. 5.71 days; P 0.05), to normal diet (5.28 vs. 8.16 days; P 0.05) and needed less frequent analgesics (2.14 vs. 6.1 days; P 0.05). More than two-thirds of group1 and less than one-third of group 2 were pain free after day 3. Most group 1 parents (96.1percent) were highly satisfied, at initial follow-up, regarding the decision to perform the surgery in contrast to group 2 parents (19.7percent). No recurrence of symptoms and no increase in rate of tonsillitis were noticed among group 1 after 20 months mean follow-up (median 20.6, range 1-36.2 months). Group 1 showed short-term benefits over group 2 and maintained the resultant improvement on the long-term with no infectious drawbacks. © 2007 Springer-Verlag.
dc.format.extent
dc.format.extent Pages: (459-463)
dc.language English
dc.publisher NEW YORK
dc.relation.ispartof Publication Name: European Archives of Oto-Rhino-Laryngology; Publication Year: 2008; Volume: 265; no. 4; Pages: (459-463);
dc.relation.ispartofseries
dc.relation.uri
dc.source Scopus
dc.subject.other
dc.title Microdebrider-assisted partial tonsillectomy: Short- and long-term outcomes
dc.type Article
dc.contributor.affiliation Bitar, M.A., Section of Pediatric Otolaryngology, Department of Otolaryngology, Head and Neck Surgery, American University of Beirut and Medical Center, Beirut, 11-0236-A52, Lebanon
dc.contributor.affiliation Rameh, C., Department of Otolaryngology, Head and Neck Surgery, American University of Beirut and Medical Center, Beirut, Lebanon
dc.contributor.authorAddress Bitar, M.A.; Section of Pediatric Otolaryngology, Department of Otolaryngology, Head and Neck Surgery, American University of Beirut and Medical Center, Beirut, 11-0236-A52, Lebanon; email: mb36@aub.edu.lb
dc.contributor.authorCorporate University: American University of Beirut Medical Center; Faculty: Faculty of Medicine; Department: Otolaryngology;
dc.contributor.authorDepartment Otolaryngology
dc.contributor.authorDivision
dc.contributor.authorEmail mb36@aub.edu.lb
dc.contributor.authorFaculty Faculty of Medicine
dc.contributor.authorInitials Bitar, MA
dc.contributor.authorInitials Rameh, C
dc.contributor.authorOrcidID
dc.contributor.authorReprintAddress Bitar, MA (reprint author), American Univ, Dept Otolaryngol Head and Neck Surg, Sect Pediat Otolaryngol, A52, Beirut 110236, Lebanon.
dc.contributor.authorResearcherID
dc.contributor.authorUniversity American University of Beirut Medical Center
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dc.description.citedCount 19
dc.description.citedTotWOSCount 17
dc.description.citedWOSCount 17
dc.format.extentCount 5
dc.identifier.articleNo
dc.identifier.coden EAOTE
dc.identifier.pubmedID 17909829
dc.identifier.scopusID 39849096134
dc.identifier.url
dc.publisher.address 233 SPRING STREET, NEW YORK, NY 10013 USA
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dc.relation.ispartofConferenceCode
dc.relation.ispartofConferenceDate
dc.relation.ispartofConferenceHosting
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dc.relation.ispartofConferenceSponsor
dc.relation.ispartofConferenceTitle
dc.relation.ispartofFundingAgency
dc.relation.ispartOfISOAbbr Eur. Arch. Oto-Rhino-Laryn.
dc.relation.ispartOfIssue 4
dc.relation.ispartOfPart
dc.relation.ispartofPubTitle European Archives of Oto-Rhino-Laryngology
dc.relation.ispartofPubTitleAbbr Eur. Arch. Oto-Rhino-Laryngol.
dc.relation.ispartOfSpecialIssue
dc.relation.ispartOfSuppl
dc.relation.ispartOfVolume 265
dc.source.ID WOS:000253570900015
dc.type.publication Journal
dc.subject.otherAuthKeyword Complications
dc.subject.otherAuthKeyword Regrowth
dc.subject.otherAuthKeyword Tonsillar hypertrophy
dc.subject.otherAuthKeyword Tonsillectomy
dc.subject.otherAuthKeyword Tonsillitis
dc.subject.otherChemCAS
dc.subject.otherIndex article
dc.subject.otherIndex bleeding
dc.subject.otherIndex cauterization
dc.subject.otherIndex clinical trial
dc.subject.otherIndex controlled clinical trial
dc.subject.otherIndex controlled study
dc.subject.otherIndex debridement
dc.subject.otherIndex female
dc.subject.otherIndex human
dc.subject.otherIndex hyperplasia
dc.subject.otherIndex major clinical study
dc.subject.otherIndex male
dc.subject.otherIndex microdebrider assisted partial tonsillectomy
dc.subject.otherIndex operation duration
dc.subject.otherIndex peroperative complication
dc.subject.otherIndex postoperative complication
dc.subject.otherIndex postoperative hemorrhage
dc.subject.otherIndex postoperative pain
dc.subject.otherIndex preschool child
dc.subject.otherIndex priority journal
dc.subject.otherIndex randomized controlled trial
dc.subject.otherIndex recurrent disease
dc.subject.otherIndex school child
dc.subject.otherIndex surgical technique
dc.subject.otherIndex tonsillar hyperplasia
dc.subject.otherIndex tonsillectomy
dc.subject.otherIndex tonsillitis
dc.subject.otherIndex treatment outcome
dc.subject.otherIndex Child
dc.subject.otherIndex Child, Preschool
dc.subject.otherIndex Debridement
dc.subject.otherIndex Equipment Design
dc.subject.otherIndex Female
dc.subject.otherIndex Follow-Up Studies
dc.subject.otherIndex Humans
dc.subject.otherIndex Hypertrophy
dc.subject.otherIndex Infant
dc.subject.otherIndex Male
dc.subject.otherIndex Microsurgery
dc.subject.otherIndex Pharyngeal Diseases
dc.subject.otherIndex Prospective Studies
dc.subject.otherIndex Time Factors
dc.subject.otherIndex Tonsil
dc.subject.otherIndex Tonsillectomy
dc.subject.otherIndex Treatment Outcome
dc.subject.otherKeywordPlus ELECTROCAUTERY TONSILLECTOMY
dc.subject.otherKeywordPlus CAUTERY TONSILLECTOMY
dc.subject.otherKeywordPlus TONSILLAR HYPERTROPHY
dc.subject.otherKeywordPlus CHILDREN
dc.subject.otherKeywordPlus MORBIDITY
dc.subject.otherKeywordPlus COBLATION
dc.subject.otherKeywordPlus SURGERY
dc.subject.otherKeywordPlus PAIN
dc.subject.otherWOS Otorhinolaryngology


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