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Radiofrequency Ablation vs Electrocautery Blinded Randomized Trial: Impact on Clinically Meaningful Outcomes.
Prussin, Aaron J; Babajanian, Eric; Error, Marc; Grimmer, J Fredrik; Ku, Jessica; McRae, Bryan; Meier, Jeremy; Thiesset, Heather; Skirko, Jonathan R.
  • Prussin AJ; Division of Otolaryngology, University of Utah Health, Salt Lake City, Utah, USA.
  • Babajanian E; Division of Otolaryngology, University of Utah Health, Salt Lake City, Utah, USA.
  • Error M; Division of Otolaryngology, University of Utah Health, Salt Lake City, Utah, USA.
  • Grimmer JF; Division of Otolaryngology, University of Utah Health, Salt Lake City, Utah, USA.
  • Ku J; Division of Otolaryngology, University of Utah Health, Salt Lake City, Utah, USA.
  • McRae B; Division of Otolaryngology, University of Utah Health, Salt Lake City, Utah, USA.
  • Meier J; Division of Otolaryngology, University of Utah Health, Salt Lake City, Utah, USA.
  • Thiesset H; Department of Surgery, University of Utah Health, Salt Lake City, Utah, USA.
  • Skirko JR; Division of Otolaryngology, University of Utah Health, Salt Lake City, Utah, USA.
Otolaryngol Head Neck Surg ; 164(6): 1186-1192, 2021 06.
Article in English | MEDLINE | ID: covidwho-1455831
Semantic information from SemMedBD (by NLM)
1. Radiofrequency Ablation compared_with Electrocoagulation
Subject
Radiofrequency Ablation
Predicate
compared_with
Object
Electrocoagulation
2. Radiofrequency Ablation compared_with Electrocoagulation
Subject
Radiofrequency Ablation
Predicate
compared_with
Object
Electrocoagulation
ABSTRACT

OBJECTIVE:

To analyze patients' return to normal activity, pain scores, narcotic use, and adverse events after undergoing tonsillectomy or adenotonsillectomy with monopolar electrocautery or radiofrequency ablation. STUDY

DESIGN:

Randomized double-blinded clinical trial based on prospective parallel design.

SETTING:

Academic medical center and tertiary children's hospital between March 2018 and July 2019.

METHODS:

Inclusion criteria included patients aged ≥3 years with surgical indication of recurrent tonsillitis or airway obstruction/sleep-disordered breathing. Patients were randomly assigned to monopolar electrocautery or radiofrequency ablation. Patients were blinded to treatment assignment. Survey questions answered via text or email were collected daily until postoperative day 15. The primary outcome was the patient's return to normal activity. Secondary outcomes included daily pain score, total amount of postoperative narcotic use, and adverse events.

RESULTS:

Of the 236 patients who met inclusion criteria and were randomly assigned to radiofrequency ablation or monopolar electrocautery, 230 completed the study (radiofrequency ablation, n = 112; monopolar electrocautery, n = 118). There was no statistically significant difference between the groups in the number of days for return to normal activity (P = .89), daily pain scores over 15 postoperative days (P = .46), postoperative narcotic use (P = .61), or return to hospital for any reason (P = .60), including bleeding as an adverse event (P = .13).

CONCLUSIONS:

As one of the largest randomized controlled trials examining instrumentation in tonsillectomy, our data do not show a difference between monopolar electrocautery and radiofrequency ablation with regard to return to normal activity, daily pain scores, total postoperative narcotic use, or adverse events.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Tonsillectomy / Adenoidectomy / Electrocoagulation / Radiofrequency Ablation Type of study: Controlled clinical trial / Observational study / Randomized controlled trials Limits: Adolescent / Child / Child, preschool / Female / Humans / Male Language: English Journal: Otolaryngol Head Neck Surg Journal subject: Otolaryngology Year: 2021 Document Type: Article Affiliation country: 0194599820964737

Full text: Available Collection: International databases Database: MEDLINE Main subject: Tonsillectomy / Adenoidectomy / Electrocoagulation / Radiofrequency Ablation Type of study: Controlled clinical trial / Observational study / Randomized controlled trials Limits: Adolescent / Child / Child, preschool / Female / Humans / Male Language: English Journal: Otolaryngol Head Neck Surg Journal subject: Otolaryngology Year: 2021 Document Type: Article Affiliation country: 0194599820964737