Application of Coblation Tonsillectomy with Inferior Pole Capsule Preservation in Pediatric Patients.
OBJECTIVES/HYPOTHESIS
To evaluate the application and advantages of coblation tonsillectomy with inferior pole capsule preservation in pediatric patients with tonsillar hypertrophy and recurrent tonsillitis.


STUDY DESIGN
Retrospective chart review.


METHODS
A total of 726 children who were diagnosed with either tonsillar hypertrophy or recurrent tonsillitis were included. Children were divided into two groups according to the surgical technique: conventional coblation tonsillectomy and coblation tonsillectomy with inferior pole capsule preservation. The duration of surgery, intraoperative hemorrhage volume, and postoperative pain, as well as postoperative hemorrhage data in the format of time, location, and degree were compared between the two groups.


RESULTS
Of the 726 children included, conventional coblation tonsillectomy was performed in 320 children, coblation tonsillectomy with inferior pole capsule preservation was performed in 406 children. There were no significant differences in duration of surgery or intraoperative hemorrhage volume between the two groups. Children who underwent coblation tonsillectomy with inferior pole capsule preservation showed a remarkable improvement in postoperative pain on days 3 and 5 postoperatively. Additionally, the coblation tonsillectomy with inferior pole capsule preservation group exhibited a significantly lower total postoperative hemorrhage rate, secondary hemorrhage rate, and hemorrhage rate in the inferior pole compared with that in the conventional coblation tonsillectomy group. During the 1-year follow-up period, no cases of tonsillar re-hypertrophy or recurrent tonsillitis were observed in either group.


CONCLUSION
For pediatric tonsillar hypertrophy and recurrent tonsillitis, coblation tonsillectomy with inferior pole capsule preservation is a safe and effective technique, capable of reducing postoperative pain and hemorrhage, especially secondary hemorrhage at the inferior pole.


LEVEL OF EVIDENCE
3b Laryngoscope, 131:1157-1162, 2021.
['Li|Jingjia|J|0000-0002-1330-3575', 'Luo|Lixia|L|', 'Chen|Weixiong|W|', 'Zhang|Jianli|J|', 'Deng|Xuequan|X|', 'Liao|Lieqiang|L|', 'Zeng|Xianping|X|', 'Wang|Bin|B|']
D016063:Blood Loss, Surgical D002648:Child D002675:Child, Preschool D005260:Female D005500:Follow-Up Studies D006801:Humans D006984:Hypertrophy D008297:Male D010147:Pain Measurement D010149:Pain, Postoperative D014066:Palatine Tonsil D019106:Postoperative Hemorrhage D012008:Recurrence D012189:Retrospective Studies D014068:Tonsillectomy D014069:Tonsillitis D016896:Treatment Outcome
Coblation tonsillectomy tonsillar hypertrophy recurrent tonsillitis postoperative hemorrhage