Md Shafiqul Islam, Md Mahbubul Alam, Md Sumon Hossain, Md Abul Kashem
Background: Tonsillitis is a rapid onset inflammation of the tonsils. It is associated with sore throat, fever, enlargement of the tonsils, trouble swallowing and large lymph nodes around the neck. Dissection and diathermytonsillectomy are two trusted methods in the treatment of tonsillitis. We have a few comparative information between these two methods. Aim of the study: The aim of this study was to dig out a comparative evaluation between dissection and diathermy method in treating tonsillitis. Materials and Methods: This prospective cross-sectional study was conducted in the Department of ENT Dhaka, in a tertiary care hospital of Dhaka, Bangladesh during the period from January 2017 to December 2019. In total 176 patients of several ages with tonsillitis required dissection and diathermytonsillectomy were finalized as the study population. Among total participants in group I, in 109 dissection procedure were applied whereas in group II in the rest 67 diathermy method were applied. All the data were processed by using SPSS version 22.0 Results: In both the groups the mean hospital staying duration was the same and it was 1 day (SD± 0.31). Between both the groups 5% (n=9) participants of group I faced secondary infection and post-operative complication which was 38.89% in Group II. In this study per-operative blood loss for dissection method of tonsillectomy ranged from50 ml to 100 ml, with the average being 65 ml. On the other hand, per-operative blood loss for diathermy tonsillectomies ranged from 10 to 30 ml, with the average being 10 ml. In dissection-method, needed average time was 26.6 minutes whereas in diathermy procedures it was 15.5 minutes. Conclusion: Although post-operative bleeding, pain, fever and secondary infections are the complications of both techniques and have similar incidences the intra-operative blood loss and time are two important factors that can affect the outcome of both techniques. Considering these, we found that, the dissection is a more effective and safer method than diathermy technique regarding secondary infection.
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