Posterior pillar mucosal suspension technique for posttonsillectomy pain and wound healing: a prospective, randomized, controlled trial
Yükleniyor...
Dosyalar
Tarih
2018
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Springer
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Objectives/hypothesisTo investigate the efficacy of a simple and feasible suturing technique on posttonsillectomy pain control and wound healing.MethodsA prospective, randomized, controlled trial was conducted on a sample of 121 children between 3 and 10years of age. Group A comprised children undergoing surgery with bipolar cautery and the posterior pillar mucosal suspension technique. Bipolar alone (Group B) and cold dissection tonsillectomy (Group C) were used as control groups. Pain was assessed at 1, 3, 5, 7, and 10days postoperatively via visual analog scale scores. Peritonsillar edema, erythema, and granulation tissue in the tonsillar fossa were evaluated by direct visual examination for wound healing on days 1, 3, 5, 7, and 10.ResultsThere were consecutive 121 patients which were included, with mean ages being 6.22.5, 6.1 +/- 2.4, and 6.1 +/- 2.6 in groups A, B, and C, respectively. Postoperative pain scores on days 1 and 3 were significantly lower in Group A than Group B and C (P<.001) and scores were 0.87 +/- 1.1, 3.83 +/- 2.29, and 4.29 +/- 2.48 on day 1 and 0.38 +/- 0.88, 2.25 +/- 2.13, and 2.76 +/- 2.12 on day 3 respectively. The wound-healing scores on postoperative 1st, 3rd, 5th, and 7th days were significantly lower in Group A than control groups (P<.001). The wound-healing score on postoperative day 10 was only different than Group C (P=.020).Conclusions p id=Par4 The posterior pillar mucosal suspension technique is an effective and comparable method in terms of wound healing, maintains the preoperative anatomical structures, and enables a better pain control with reduced analgesic/opioid usage.
Açıklama
WOS: 000447934800034
PubMed: 30255204
PubMed: 30255204
Anahtar Kelimeler
Tonsillectomy, Bipolar cautery, Suturing, Pain control, Wound healing, Posterior pillar mucosal suspension
Kaynak
European Archives Of Oto-Rhino-Laryngology
WoS Q Değeri
Q2
Scopus Q Değeri
Q1
Cilt
275
Sayı
11
