Coblation revolving tonsillectomy with outside-in dissection: A modified tonsillectomy

Abstract Objective This study introduces a modified tonsillectomy procedure and evaluates the occurrence of intraoperative and postoperative hemorrhage using the new method. Methods Modified tonsillectomy, defined as coblation revolving tonsillectomy with outside-in dissection, was performed on 104 patients. Results This study enrolled 104 patients (62 males and 42 females), the average age was 23.6 ± 6.8 (range: 16–31) years. The reasons for the procedure were as follows: 58 (55.8%) due to tonsillar hypertrophy, 39 (37.5%) for recurrent tonsillitis, and 7 (6.7%) because of the presence of a benign tumor. The average operation time of bilateral surgery was 13.2 ± 1.9 min. No intraoperative bleeding was encountered in the tonsillar fossa in any of the patients. Pain intensity was 4.1 ± 1.6 on postoperative days 0, 3.9 ± 2.1 on postoperative days 1, and 2.8 ± 1.1 on postoperative days 2. No postoperative hemorrhage which required any additional intervention occurred. Also, no postoperative other complications were encountered. Conclusions Coblation revolving tonsillectomy with outside-in dissection may be effective and safe technique for reducing intraoperative and postoperative hemorrhage.