Comparison of surgical outcomes of cold dissection, coblation and CO2 laser in patients undergoing tonsillectomy.

Aims and Objectives: To study and compare the surgical outcomes of Cold Dissection, Coblation and CO2 Laser in patients undergoing tonsillectomy.

Objectives:

1.To assess the outcomes of tonsillectomy by cold dissection, CO2 laser and coblation method.

2.To compare the surgical outcomes for pain, bleeding and complications.

Detailed methodology:

• A Randomised Controlled Trial is planned for comparing surgical outcomes of cold dissection, coblation and CO2 laser in patients undergoing tonsillectomy in the Department of Otorhinolaryngology, AIIMS, Jodhpur.
• Patients will be subjected to surgery as per Pre-op protocol and discussion.
• Randomisation will be done using envelopes which contain the name of the arm under which the patient will be included (single blinded).
• Patients undergoing tonsillectomy will be divided into three random groups and different techniques (Cold Dissection, Coblation, CO2 Laser ) will be used.
• Intra operative bleeding will be noted based on anaesthesiologist’s documentation which includes soakage of gauge pieces and blood collected in suction apparatus as per our form.
• The surgical outcomes of these techniques will be evaluated postoperatively for pain, bleeding and complications till 3 months.
• Post operative pain will be assessed on day 1, 3, 7 and 14 with the help of VAS (Visual Analogue Scale, Faces Rating Scale)
• The patient will be assessed post operatively for status of tonsillar fossa- healthy/unhealthy.