Posterior pillar mucosal suspension technique for posttonsillectomy pain and wound healing: a prospective, randomized, controlled trial

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dc.contributor.authorAkcan, Fatih Alper
dc.contributor.authorDündar, Yusuf
dc.date.accessioned2020-04-30T23:21:09Z
dc.date.available2020-04-30T23:21:09Z
dc.date.issued2018
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.descriptionWOS: 000447934800034en_US
dc.descriptionPubMed: 30255204en_US
dc.description.abstractObjectives/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.en_US
dc.identifier.doi10.1007/s00405-018-5148-4en_US
dc.identifier.endpage2887en_US
dc.identifier.issn0937-4477
dc.identifier.issn1434-4726
dc.identifier.issue11en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage2879en_US
dc.identifier.urihttps://doi.org/10.1007/s00405-018-5148-4
dc.identifier.urihttps://hdl.handle.net/20.500.12684/4144
dc.identifier.volume275en_US
dc.identifier.wosWOS:000447934800034en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofEuropean Archives Of Oto-Rhino-Laryngologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectTonsillectomyen_US
dc.subjectBipolar cauteryen_US
dc.subjectSuturingen_US
dc.subjectPain controlen_US
dc.subjectWound healingen_US
dc.subjectPosterior pillar mucosal suspensionen_US
dc.titlePosterior pillar mucosal suspension technique for posttonsillectomy pain and wound healing: a prospective, randomized, controlled trialen_US
dc.typeArticleen_US

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