A COMPARISON OF THE KTP/532-LASER TONSILLECTOMY VS TRADITIONAL DISSECTION SNARE TONSILLECTOMY

被引:35
作者
STRUNK, CL
NICHOLS, ML
机构
[1] Dept. of Otolaryngology, University of Texas, Medical Branch, Galveston, TX 77550
关键词
D O I
10.1177/019459989010300614
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
This study compared tonsillectomy by potassium-titanyl-phosphate (KTP/532) laser with tonsillectomy by traditional dissection and snare. Eighty-three consecutive patients who were candidates for a tonsillectomy were randomly assigned to one of four groups in a prospective study. The four treatments were bilateral traditional dissection/snare tonsillectomy, bilateral KTP/532-laser tonsillectomy, left laser tonsillectomy and right dissection/snare tonsillectomy, and left dissection/snare tonsillectomy and right laser tonsillectomy. Intraoperative comparisons were made between the two methods with regard to blood loss and operating time. Postoperatively bleeding and healing time were also recorded. A questionnaire answered on a daily basis assessed the patient's pain. Disadvantages of the KTP/532 tonsillectomy included increased cost, increased total operating time as a result of increased setup time and laser malfunctions, delayed healing, and no statistically significant improvement in level of pain. The sole advantage associated with the KTP/532 laser tonsillectomy was decreased blood loss, which may be significant for patients with a coagulopathy.
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收藏
页码:966 / 971
页数:6
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