Time of Postoperative Discharge Following Inpatient Tonsillectomy: A Comparison of Two Techniques
Journal Title: Archives of Otolaryngology and Rhinology - Year 2018, Vol 4, Issue 4
Abstract
There are many types of surgical instrumentation and techniques used to perform adenotonsillectomy. The choice of instrument depends on several factors and the benefits of clinical outcomes must outweigh the costs of newer technologies. Our study seeks to compare the discharge times following inpatient adenotonsillectomy using monopolar electrosurgery vs. radiofrequency ablation. Participants included thirty children aged 2 to 8 years old who underwent adenotonsillectomy via monopolar electrocautery or radiofrequency ablation and were admitted for inpatient observation. Eighteen patients underwent tonsillectomy with monopolar electrocautery and 10 patients underwent tonsillectomy with radiofrequency ablation. There was no intergroup difference in age, sex, weight, and indication for tonsillectomy. Total hospital length of stay and variance to a goal of discharge before 8 AM on postoperative day #1 was measured. Results demonstrated statistically significant difference in mean length of stay (19.6 vs. 22.4 hours, p = 0.037) and variance to discharge time (139.5 vs. 15.6 min, p = 0.032) in favor of the radiofrequency ablation group. In this small number of patients, there was significantly earlier discharge times in children undergoing adenotonsillectomy with radiofrequency ablation when compared to monopolar electrocautery. Further cost analysis in a larger sample could determine potential cost benefits to the institution.
Authors and Affiliations
SM Tominaga, RC Silva, C Ojano-Dirain, WO Collins
Tertiary Nasal Syphilis: Rare But Still a Reality
Tertiary syphilis shows most marked manifestations in the nose causing superficial and deep ulcerations and gumma. Gummatous deposit may occur in any portion of the nose. The deformity resulting from the destruction of t...
Quantitative Analysis of Smooth Pursuit Eye Movement Using Video-Oculography
Background: Abnormalities of smooth pursuit eye movement (SPEM) are a clinical finding in central equilibrium disorders; the evaluation of SPEM using video-oculography (VOG) has therefore been conducted clinically in rec...
Adenoid cystic carcinoma of the external auditory- A Case Report
Background: Primary external auditory canal (EAC) malignancies are very rare with adenoid cystic carcinoma (ACC) representing approximately 5% of these tumors. There is insufficient knowledge of the natural behavior of A...
Polymorphous Low-Grade Adenocarcinoma: A Rare Cause of Long-term Epistaxis
Polymorphous low-grade adenocarcinoma (PLGA) of the paranasal sinus is an extremely rare disease. PLGA is a minor salivary gland neoplasm that occurs mostly in the junction of the soft and hard palate, followed by the bu...
Hypoglossal Nerve Schwannoma in the Submandibular Region: A Case Report and Discussion
Schwannomas of head and neck regioncommonly arise from the vestibular and vagus nerve. Hypoglossal nerve schwannomas are very rare. They may be intracranial only or have both intra and extracranial extension. Radiology s...