CIT clinical data when compared to total tonsillectomy

Clinical data from systematic review and meta-analysis of 17 studies. CIT (n-1996) versus (n=2195)

  • Reduction in pain

    0

    days sooner pain free. Less pain @ 1 day and 1 week.

  • Reduction in time to analgesia free

    0

    days sooner

  • Reduction in risk of post-tonsillectomy hemorrhage

    0
    %

    less likely to have PTH

  • Faster return to normal activity

    0

    days sooner

  • Faster return to normal diet

    0

    days sooner

  • Low rate of revision

    0
    %

    reoperation at 5 years

Intracapsular tonsillectomy and total tonsillectomy clinical data

No matter how statistically safe a procedure has proven to be, every surgery has risks. Post Tonsillectomy Hemorrhage (PTH) is a potentially serious complication that has been reported in literature for both adult and pediatric patients. It is reported to occur following use of COBLATION devices as well as following the use of other surgical devices and methods. Before making any surgical decision, you should speak with your doctor about any potential risks.

COBLATION wands are contraindicated for use in patients with cardiac pacemakers or other electronic device implants.

  1. Smith+Nephew 2017. Coblation Dissection Versus Monopolar Dissection – A Systematic Review and Meta-analysis. Internal Report. P/N 91999.
  2. Temple RH, Timms MS. Paediatric coblation tonsillectomy. Int J Pediatr Otorhinolaryngol. 2001;61(3):195 – 198.
  3. Smith+Nephew 2021. Partial tonsillectomy using COBLATION versus alternative tonsillectomy techniques: A systematic literature review with meta-analysis. Internal Report. EA/ENT/COBLATION/002/V4.
  4. Amin N, Bhargava E, Prentice JG, Shamil E, Walsh M, Tweedie DJ. Coblation Intracapsular Tonsillectomy in Children: A Prospective Study of 1257 Consecutive Cases with Long Term Follow Up. Clin Otolaryngol. 2021;00:1 – 9.
  5. Francis DO, Fonnesbeck C, Sathe N, McPheeters M, Krishnaswami S, Chinnadurai S. Postoperative Bleeding and Associated Utilization Following Tonsillectomy in Children: A Systematic Review and MetaAnalysis. Otolaryngol Head Neck Surg. 2017;156:442 – 455.
  6. Varadharajan K, Caton N, Faulkner J, Khemani S. Coblation® intracapsular tonsillectomy in children with recurrent tonsillitis: Initial experience. Int J Pediatr Otorhinolaryngol. 2020;135:110113.
  7. Chau SM, Sharma GK, Ahuja GS, Huoh KC, Pham NS. Post-Operative Hemorrhage Rates in Coblation Intracapsular Tonsillectomy: A 6-year Experience. Poster presented at: Combined Otolaryngology Spring Meetings (COSM)2019; Austin, Texas.
  8. Albright JT, Duncan NO, Smerica AM, Edmonds JL. Intra-capsular complete tonsillectomy, a modification of surgical technique to eliminate delayed post-operative bleeding. Int J Pediatr Otorhinolaryngol. 2020;128:109703.
  9. Keltie K, Donne A, Daniel M, et al. Paediatric tonsillectomy in England: A cohort study of clinical practice and outcomes using Hospital Episode Statistics data (2008-2019). Clin Otolaryngol. 2021;00:1–10.

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