원저

편도절제술 수술 방법에 따른 술 후 통증 비교 : 고식적인 방법, 섬유소 응고제 국소도포와 Coblation 비교 분석

정광태1, 이현민1, 김정석1, 이시영1, 한주희1,*
Kwang Tae Jung1, Hyun Min Lee1, Jeong Seok Kim1, See Young Lee1, Ju Hee Han1,*
Author Information & Copyright
1전주예수병원 이비인후과
1Department of Otolaryngology, Presbyterian Medical Center, Jeonju, Korea
*교신저자: 한주희,560-727 전북 완산구 중화산동 1가 전주예수병원 이비인후과 전화: (063) 230-1481 · 전송: (063) 230-1489 E-mail: juhee.hn@gmail.com

© Copyright 2013 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Nov 19, 2012; Revised: Jan 04, 2013; Accepted: Mar 06, 2013

Published Online: May 31, 2020

ABSTRACT

Background and Objectives: To compare post-operative pain scores following tonsillectomy by conventional method, fibrin glue that applied to tonsillar bed after tonsillectomy or Coblation. Subject and Methods: 216 patients were included in this retrospective study by chart review. The patients were divided into 4 groups. Each group underwent conventional tonsillectomy (Group 1), conventional tonsillectomy and then were applied fibrin glue(Group 2), Coblation tonsillectomy (Group 3) and Coblation tonsillectomy with additional application of fibrin glue (Group 4). Pain scores were measured at the first (postoperative day, POD1), third (POD3) and tenth (POD10) day of the operation by using visual analogue scale (VAS) score. Results: The patients of Group 1 were more painful significantly than the others, especially POD 1 (p<0.05). The VAS scores of each group were 5.94±1.33/4.04±1.05/4.42±1.16/4.75±1.41/4.73±1.41 (Group 1/Group 2/Group 3/Group4/mean of total) at POD 1. Conclusions: Application of fibrin glue and/or Coblation tonsillectomy were reduced post-ton-sillectomy pain. (J Clinical Otolaryngol 2013;24:56–61)

Keywords: 편도절제술; 통증; 섬유소 응고제; Coblation
Keywords: Tonsillectomy; Pain; Fibrin glue; Coblation