dc.contributor.author |
Lin, Huiying |
|
dc.contributor.author |
Hajarizadeh, Behzad |
|
dc.contributor.author |
Wood, Andrew James |
|
dc.contributor.author |
Selvarajah, Kumanan |
|
dc.contributor.author |
Ahmadi, Omid |
|
dc.coverage.spatial |
England |
|
dc.date.accessioned |
2024-06-10T22:49:11Z |
|
dc.date.available |
2024-06-10T22:49:11Z |
|
dc.date.issued |
2024-02 |
|
dc.identifier.citation |
(2024). Otolaryngology - Head and Neck Surgery, 170(2), 347-358. |
|
dc.identifier.issn |
0194-5998 |
|
dc.identifier.uri |
https://hdl.handle.net/2292/68764 |
|
dc.description.abstract |
<h4>Objective</h4>Following tonsillectomy, postoperative pain and hemorrhage from the tonsillar bed are causes of significant morbidity. Intracapsular tonsillectomy with Coblation is suggested to minimize such morbidity while remaining efficacious in long-term outcomes. This systematic review and meta-analysis assessed short-term morbidity and long-term outcomes from intracapsular tonsillectomy with Coblation, focusing primarily on posttonsillectomy hemorrhage.<h4>Data sources</h4>Medline, Embase, and the Cochrane Library.<h4>Review methods</h4>Guided by PRISMA guidelines, studies on intracapsular tonsillectomy with Coblation published between December 2002 and July 2022 evaluating frequency of posttonsillectomy hemorrhage were screened. Studies without primary data were excluded. Meta-analysis was conducted using the random-effect model. The primary outcome was the proportion of patients who experienced posttonsillectomy hemorrhage. The secondary outcomes were posttonsillectomy pain, the proportion requiring revision tonsillectomy, and severity of sleep-disordered breathing measured by polysomnography outcomes.<h4>Results</h4>From 14 studies there were 9821 patients. The proportion of total posttonsillectomy hemorrhage was 1.0% (95% confidence interval [CI] 0.5%-1.6%, n = 9821). The proportion experiencing primary hemorrhage, secondary hemorrhage, and those requiring further tonsil surgery were 0.1% (95% CI 0.0%-0.1%; study n = 7), 0.8% (95% CI 0.2%-1.4%; study n = 7), and 1.4% (95% CI 0.6%-2.2%; study n = 6), respectively. Mean reduction in apnea-hypopnea index was -16.0 events per hour (95% CI -8.8 to -23.3, study n = 3) and mean increase in oxygen nadir was 5.9% (95% CI 2.6%-9.1%, study n = 3).<h4>Conclusion</h4>Intracapsular tonsillectomy with Coblation has been demonstrated to have a low rate of posttonsillectomy hemorrhage. Data regarding long-term tonsil regrowth and need for reoperation were encouraging of the efficacy of this technique. |
|
dc.format.medium |
Print-Electronic |
|
dc.language |
eng |
|
dc.publisher |
Wiley |
|
dc.relation.ispartofseries |
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery |
|
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
|
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
|
dc.subject |
Humans |
|
dc.subject |
Sleep Apnea Syndromes |
|
dc.subject |
Postoperative Hemorrhage |
|
dc.subject |
Pain, Postoperative |
|
dc.subject |
Tonsillectomy |
|
dc.subject |
Palatine Tonsil |
|
dc.subject |
postoperative period |
|
dc.subject |
32 Biomedical and Clinical Sciences |
|
dc.subject |
3202 Clinical Sciences |
|
dc.subject |
1103 Clinical Sciences |
|
dc.title |
Postoperative Outcomes of Intracapsular Tonsillectomy With Coblation: A Systematic Review and Meta-Analysis. |
|
dc.type |
Journal Article |
|
dc.identifier.doi |
10.1002/ohn.573 |
|
pubs.issue |
2 |
|
pubs.begin-page |
347 |
|
pubs.volume |
170 |
|
dc.date.updated |
2024-05-05T04:37:28Z |
|
dc.rights.holder |
Copyright: American Academy of Otolaryngology—Head and Neck Surgery Foundation |
en |
dc.identifier.pmid |
37937711 (pubmed) |
|
pubs.author-url |
https://www.ncbi.nlm.nih.gov/pubmed/37937711 |
|
pubs.end-page |
358 |
|
pubs.publication-status |
Published |
|
dc.rights.accessrights |
http://purl.org/eprint/accessRights/RetrictedAccess |
en |
pubs.subtype |
Meta-Analysis |
|
pubs.subtype |
Systematic Review |
|
pubs.subtype |
Review |
|
pubs.subtype |
Journal Article |
|
pubs.elements-id |
992722 |
|
pubs.org-id |
Medical and Health Sciences |
|
pubs.org-id |
School of Medicine |
|
pubs.org-id |
Surgery Department |
|
dc.identifier.eissn |
1097-6817 |
|
pubs.record-created-at-source-date |
2024-05-05 |
|
pubs.online-publication-date |
2023-11-08 |
|