KBB-Forum 2005 , Cilt 4, Sayı 2

THE EFFECT OF COBLATION TONSILLECTOMY ON THE MIDDLE EAR PRESSURE

Utku KUBİLAY, MD; OZAN Seymen SEZEN, MD; Murat KOC, MD; Temel COSKUNER, MD; Seref UNVER,MD
Dr.Lütfi Kırdar Kartal Eğitim Araştırma Hastanesi, 1.KBB Kliniği, İstanbul, Türkiye Purpose: The aim of this study is to investigate early postoperative effect of tonsillectomy with cold knife blunt dissection and with coblation on the middle ear pressure.

Material and Method: We randomized patients internalized in I.ENT Clinic of Dr.Lütfi Kırdar Kartal Education and Research Hospital for tonsillectomy into 2 groups including 13 patients.Tonsillectomy techniques via coblation and cold knife to these two groups of patients were performed.Changes in middle ear pressure during postoperative period were measured by tympanometric examination ,on each day for 7 days.

Result: The average of the tympanometry values in coblation tonsillectomy group was more negative than the average of tympanometry values in cold knife tonsillectomy group but no statistically significant difference was found.

Conclusion: Coblation plasma surgery system had no negative effect on the postoperative pressure of middle ear compared to the cold knife tonsilllectomy. Keywords : Coblation tonsillectomy, cold knife tonsilllectomy, middle ear pressure