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

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)