Modern technology-assisted vs conventional tonsillectomy: A meta-analysis of randomized controlled trials

Archives of Otolaryngology - Head and Neck Surgery

Volumn 137, Issue 6, 2011, Pages 558-570

  Alexiou, Vangelis G ^a,b   Salazar Salvia, Mary Sheryll ^a   Jervis, Paul N ^a   Falagas, Matthew E ^b,c,d  

^a NORTHAMPTON GENERAL HOSPITAL   (United Kingdom)

^b ALFA INSTITUTE OF BIOMEDICAL SCIENCES AIBS   (Greece)

^c HENRY DUNANT HOSPITAL   (Greece)

^d TUFTS UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; ASSISTIVE TECHNOLOGY; CAUTERIZATION; DISSECTION; HUMAN; INTERMETHOD COMPARISON; INTRAOPERATIVE PERIOD; META ANALYSIS; OPERATION DURATION; PERIOPERATIVE PERIOD; POSTOPERATIVE HEMORRHAGE; POSTOPERATIVE PAIN; RADIOFREQUENCY ABLATION; RANDOMIZED CONTROLLED TRIAL (TOPIC); SCALPEL; SYSTEMATIC REVIEW; TONSILLECTOMY; TREATMENT OUTCOME;

BLOOD LOSS, SURGICAL; CATHETER ABLATION; ELECTROCOAGULATION; HEMOSTASIS, SURGICAL; HUMANS; PAIN MEASUREMENT; PAIN, POSTOPERATIVE; POSTOPERATIVE HEMORRHAGE; RANDOMIZED CONTROLLED TRIALS AS TOPIC; SURGICAL EQUIPMENT; TIME FACTORS; TONSILLECTOMY; ULTRASONICS;

EID: 79959327401     PISSN: 08864470     EISSN: 1538361X     Source Type: Journal    
DOI: 10.1001/archoto.2011.93     Document Type: Article

References (51)

1. McNeill RA. A history of tonsillectomy: two millenia of trauma, hæmorrhage and controversy. Ulster Med J. 1960;29(1):59-63.
2. Falagas ME, Vouloumanou EK, Matthaiou DK, Kapaskelis AM, Karageorgopoulos DE. Effectiveness and safety of short-course vs long-course antibiotic therapy for group A β-hemolytic streptococcal tonsillopharyngitis: ameta-analysis of randomized trials. Mayo Clin Proc. 2008;83(8):880-889.
3. American Academy of Otolaryngology-Head and Neck Surgery. Clinical Indicators Compendium: Clinical Indicators: Tonsillectomy, Adenoidectomy, Adenotonillectomy. Alexandria, VA: American Academy of Otolaryngology-Head and Neck Surgery; 2000.
4. The Royal College of Surgeons. National Prospective Tonsillectomy Audit. ENT UK - British Association of Otorhinolaryngology Head & Neck Surgery Web site. http://www.entuk.org/members/audits/tonsil/Tonsillectomyauditreport-pdf. Accessed September 25, 2010.
5. van der Meulen J, Browne J. Complication Rates After Tonsillectomy on the Basis of Hospital Episode Statistics. London, England: Clinical Effectiveness Unit, Royal College of Surgeons of England; 2002.
6. Heniford BT, Matthews BD, Sing RF, Backus C, Pratt B, Greene FL. Initial results with an electrothermal bipolar vessel sealer. Surg Endosc. 2001;15(8):799-801.
7. Karatzias GT, Lachanas VA, Papouliakos SM, Sandris VG. Tonsillectomy using the thermal welding system. ORL J Otorhinolaryngol Relat Spec. 2005;67(4):225-229.
8. Richter S, Kollmar O, Schilling MK, Pistorius GA, Menger MD. Efficacy and quality of vessel sealing: comparison of a reusable with a disposable device and effects of clamp surface geometry and structure. Surg Endosc. 2006;20(6):890-894.
9. Shinhar S, Scotch BM, Belenky W, Madgy D, Haupert M. Harmonic scalpel tonsillectomy versus hot electrocautery and cold dissection: an objective comparison. Ear Nose Throat J. 2004;83(10):712-715.
10. Calkins H. Cooled ablation. J Cardiovasc Electrophysiol. 2004;15(10)(suppl):S12-S17.
11. Woloszko J, Kwende MM, Stalder KR. Coblation in otolaryngology. Proc SPIE. 2003;4949:341-352.
12. Farin G, Grund KE. Technology of argon plasma coagulation with particular regard to endoscopic applications. Endosc Surg Allied Technol. 1994;2(1):71-77.
13. Moher D, Cook DJ, Eastwood S, Olkin I, Rennie D, Stroup DF. Improving the quality of reports of meta-analyses of randomised controlled trials: the QUOROM statement. Lancet. 1999;354(9193):1896-1900.
14. Jadad AR, Moore RA, Carroll D, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials. 1996;17(1):1-12.
15. Beurs E, Bouter LM. Is the standardised mean difference a suitable measure of treatment effect? In: Proceedings of the Seventh Cochrane Colloquium; October 5-9, 1999; Università San Tommaso D'Aquino, Rome, Italy.
16. Silvola J, Salonen A, Nieminen J, Kokki H. Tissue welding tonsillectomy provides an enhanced recovery compared to that after monopolar electrocautery technique in adults: a prospective randomized clinical trial. Eur Arch Otorhinolaryngol. 2011;268(2):255-260.
17. Lee SW, Jeon SS, Lee JD, Lee JY, Kim SC, Koh YW. A comparison of postoperative pain and complications in tonsillectomy using BiClamp forceps and electrocautery tonsillectomy. Otolaryngol Head Neck Surg. 2008;139(2):228-234.
18. Sezen OS, Kaytanci H, Kubilay U, Coskuner T, Ünver S. Comparison between tonsillectomy with thermal welding and the conventional 'cold' tonsillectomy technique. ANZ J Surg. 2008;78(11):1014-1018.
19. Lachanas VA, Hajiioannou JK, Karatzias GT, Filios D, Koutsias S, Mourgelas C. Comparison of LigaSure vessel sealing system, harmonic scalpel, and cold knife tonsillectomy. Otolaryngol Head Neck Surg. 2007;137(3):385-389.
20. Stavroulaki P, Skoulakis C, Theos E, Kokalis N, Valagianis D. Thermal welding versus cold dissection tonsillectomy: a prospective, randomized, single-blind study in adult patients. Ann Otol Rhinol Laryngol. 2007;116(8):565-570.
21. Karatzias GT, Lachanas VA, Sandris VG. Thermal welding versus bipolar tonsillectomy: a comparative study. Otolaryngol Head Neck Surg. 2006;134(6):975-978.
22. Lachanas VA, Prokopakis EP, Bourolias CA, et al. Ligasure versus cold knife tonsillectomy. Laryngoscope. 2005;115(9):1591-1594.
23. Cushing SL, Smith O, Chiodo A, Elmasri W, Munro-Peck P. Evaluating postoperative pain in monopolar cautery versus harmonic scalpel tonsillectomy. Otolaryngol Head Neck Surg. 2009;141(6):710-715.
24. Leaper M, Mahadevan M, Vokes D, Sandow D, Anderson BJ, West T. A prospective randomised single blinded study comparing harmonic scalpel tonsillectomy with bipolar tonsillectomy. Int J Pediatr Otorhinolaryngol. 2006;70(8):1389-1396.
25. Parsons SP, Cordes SR, Comer B. Comparison of posttonsillectomy pain using the ultrasonic scalpel, coblator, and electrocautery. Otolaryngol Head Neck Surg. 2006;134(1):106-113.
26. Kamal SA, Basu S, Kapoor L, Kulandaivelu G, Talpalikar S, Papasthatis D. Harmonic scalpel tonsillectomy: a prospective study. Eur Arch Otorhinolaryngol. 2006;263(5):449-454.
27. Oko MO, Ganly I, Loughran S, Clement WA, Young D, Geddes NK. A prospective randomized single-blind trial comparing ultrasonic scalpel tonsillectomy with tonsillectomy by blunt dissection in a pediatric age group. Otolaryngol Head Neck Surg. 2005;133(4):579-584.
28. Collison PJ, Weiner R. Harmonic scalpel versus conventional tonsillectomy: a double-blind clinical trial. Ear Nose Throat J. 2004;83(10):707-710.
29. Willging JP, Wiatrak BJ. Harmonic scalpel tonsillectomy in children: a randomized prospective study. Otolaryngol Head Neck Surg. 2003;128(3):318-325.
30. Sheahan P, Miller I, Colreavy M, Sheahan JN, McShane D, Curran A. The ultrasonically activated scalpel versus bipolar diathermy for tonsillectomy: a prospective, randomized trial. Clin Otolaryngol Allied Sci. 2004;29(5):530-534.
31. Walker RA, Syed ZA. Harmonic scalpel tonsillectomy versus electrocautery tonsillectomy: a comparative pilot study. Otolaryngol Head Neck Surg. 2001;125(5):449-455.
32. Akural EI, Koivunen PT, Teppo H, Alahuhta SM, Löppönen HJ. Post-tonsillectomy pain: a prospective, randomised and double-blinded study to compare an ultrasonically activated scalpel technique with the blunt dissection technique. Anaesthesia. 2001;56(11):1045-1050.
33. Aksoy F, Ozturan O, Veyseller B, Yildirim YS, Demirhan H. Comparison of radiofrequency and monopolar electrocautery tonsillectomy. J Laryngol Otol. 2010;124(2):180-184.
34. Parker D, Howe L, Unsworth V, Hilliam R. A randomised controlled trial to compare postoperative pain in children undergoing tonsillectomy using cold steel dissection with bipolar haemostasis versus coblation technique. Clin Otolaryngol. 2009;34(3):225-231.
35. Roje Z, Racić G, Dogas Z, Pisac VP, Timms M. Postoperative morbidity and histopathologic characteristics of tonsillar tissue following coblation tonsillectomy in children: a prospective randomized single-blind study. Coll Antropol. 2009;33(1):293-298.
36. Magdy EA, Elwany S, el-Daly AS, Abdel-Hadi M, Morshedy MA. Coblation tonsillectomy: a prospective, double-blind, randomised, clinical and histopathological comparison with dissection-ligation, monopolar electrocautery and laser tonsillectomies. J Laryngol Otol. 2008;122(3):282-290.
37. Hasan H, Raitiola H, Chrapek W, Pukander J. Randomized study comparing postoperative pain between coblation and bipolar scissor tonsillectomy. Eur Arch Otorhinolaryngol. 2008;265(7):817-820.
38. Shapiro NL, Bhattacharyya N. Cold dissection versus coblation-assisted adenotonsillectomy in children. Laryngoscope. 2007;117(3):406-410.
39. Mitic S, Tvinnereim M, Lie E, Čaltytė BJ. A pilot randomized controlled trial of coblation tonsillectomy versus dissection tonsillectomy with bipolar diathermy haemostasis. Clin Otolaryngol. 2007;32(4):261-267.
40. Tan AK, Hsu PP, Eng SP, et al. Coblation vs electrocautery tonsillectomy: postoperative recovery in adults. Otolaryngol Head Neck Surg. 2006;135(5):699-703.
41. Noordzij JP, Affleck BD. Coblation versus unipolar electrocautery tonsillectomy: a prospective, randomized, single-blind study in adult patients. Laryngoscope. 2006;116(8):1303-1309.
42. Polites N, Joniau S, Wabnitz D, et al. Postoperative pain following coblation tonsillectomy: randomized clinical trial. ANZ J Surg. 2006;76(4):226-229.
43. Ragab SM. Bipolar radiofrequency dissection tonsillectomy: a prospective randomized trial. Otolaryngol Head Neck Surg. 2005;133(6):961-965.
44. Philpott CM, Wild DC, Mehta D, Daniel M, Banerjee AR. A double-blinded randomized controlled trial of coblation versus conventional dissection tonsillectomy on post-operative symptoms. Clin Otolaryngol. 2005;30(2):143-148.
45. Stoker KE, Don DM, Kang DR, Haupert MS, Magit A, Madgy DN. Pediatric total tonsillectomy using coblation compared to conventional electrosurgery: a prospective, controlled single-blind study. Otolaryngol Head Neck Surg. 2004;130(6):666-675.
46. Shah UK, Galinkin J, Chiavacci R, Briggs M. Tonsillectomy by means of plasma-mediated ablation: prospective, randomized, blinded comparison with monopolar electrosurgery. Arch Otolaryngol Head Neck Surg. 2002;128(6):672-676.
47. Bäck L, Paloheimo M, Ylikoski J. Traditional tonsillectomy compared with bipolar radiofrequency thermal ablation tonsillectomy in adults: a pilot study. Arch Otolaryngol Head Neck Surg. 2001;127(9):1106-1112.
48. Temple RH, Timms MS. Paediatric coblation tonsillectomy. Int J Pediatr Otorhinolaryngol. 2001;61(3):195-198.
49. Dickersin K, Chan S, Chalmers TC, Sacks HS, Smith H Jr. Publication bias and clinical trials. Control Clin Trials. 1987;8(4):343-353.
50. Rosenthal R. The file drawer problem and tolerance for null results. Psychol Bull. 1979;86:638-641.
51. Karatzanis A, Bourolias C, Prokopakis E, Panagiotaki I, Velegrakis G. Thermal welding technology vs ligasure tonsillectomy: a comparative study. Am J Otolaryngol. 2008;29(4):238-241.