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    Multiparametric comparison of thermal welding versus cold knife tonsillectomy with tonsil size
    (Deomed Publ, Istanbul, 2013) Çelebi, Saban; Çelik, Oner; Karaca, Cigdem Tepe; Ulusoy, Seckin
    Objective: This study is performed to compare thermal welding tonsillectomy (TWT) technique versus cold knife tonsillectomy (CKT) technique under consideration of postoperative pain, intraoperative bleeding, operation time, and tonsil size. Methods: One hundred and three patients underwent tonsillectomy aged between 5 and 39 years were included into the study. Tonsil sizes were classified with Brodsky's tonsil scale system ranging from 0-4. Duration of the operation and the amount of bleeding were recorded. Postoperative pain was evaluated via visual analogue scale and face pain scale on the 1st, 3rd, 7th and 14th postoperative days. Results: Mean operative time was lower in TWT group than CKT group (p<0.01). Mean pain score on 1st, 3rd, 7th postoperative days was significantly higher in CKT than in TWT group (p<0.01). Mean pain score on the 7th postoperative day in CKT group of patients with tonsil size 1 and 2 was significantly higher than the patients with tonsil size of 3 (p<0.01). Mean pain score on the 3rd, 7 th and 14 th postoperative days in TWT group of patients with tonsil size 1 and 2 was significantly higher than the patients with tonsil size of 3 (p<0.01). The average amount of bleeding in CKT group was significantly higher than in TWT group (p<0.01). There were no significant differences on the average amount of bleeding obtained in both group according to the size of tonsils(p>0.05). Conclusion: In the present study, it was concluded that the tonsil size does not affect the amount of intraoperative bleeding however increase in the tonsil size decreases the postoperative pain.