Coblation Cryptolysis for Treatment of Tonsillar Stones: A Randomized Clinical Study

Elsayad OA and Hussein MSb

Published on: 2021-05-30

Abstract

Background: Tonsillectomy is usually indicated in patients with tonsillar stones. It’s thought that coblation cryptolysis avoids the hazards related to monopolar bipolar diathermy and the regular cold surgical technique. This randomized study compared the peri-operative outcomes in patients with tonsillar stones submitted to coblation cryptolysis, monopolar bipolar dissection and cold dissection techniques. The study included 105 patients with tonsillar stones. The included patients comprised three groups: GI (n=35) was subjected to cold dissection, GII (n=35) was subjected to monopolar bipolar diathermy tonsillectomy and GIII (n=35) was subjected to coblation cryptolysis. Outcome parameters included operative time, intraoperative bleeding, consumption of postoperative analgesia time to normal food intake and postoperative complications.
Results: GIII patients experienced significantly shorter operative time, less intraoperative bleeding, less consumption of postoperative analgesics and less time to normal diet when compared with the other two groups.
Conclusion: Coblation cryptolysis is a safe and effective technique in management of tonsillar stones. It appears to be superior to other surgical interventions.n