Comparison Between Coblation and Cold Dissection in Tonsillectomy: Impact on Complications and Postoperative Recovery
Comparison Between Coblation and Cold Dissection in Tonsillectomy: Impact on Complications and Postoperative Recovery
DOI:
https://doi.org/10.51473/rcmos.v1i2.2025.1734Keywords:
Tonsillectomy. Cold dissection. Coblation. Postoperative complicationsAbstract
Tonsillectomy is one of the most important and prevalent surgical procedures in otolaryngology. The cold dissection technique has long been considered the gold standard and widely practiced; however, in recent years, the coblation technique has become increasingly disseminated and compared to cold dissection due to its potential to reduce tissue trauma, postoperative pain, and intraoperative bleeding. This review synthesizes evidence from randomized clinical trials, meta-analyses, and large-scale prospective studies published between 2000 and 2025, comparing the techniques regarding intraoperative complications and early and late postoperative outcomes. The findings show that coblation provides consistent advantages in reducing early postoperative pain, intraoperative bleeding, and promoting a faster return to diet. Concerning the occurrence of late hemorrhage, the studies have shown divergent results. It is concluded that coblation represents an effective technique with favorable outcomes; however, further studies are needed to compare safety between the techniques. The final choice should consider the surgeon’s experience and shared decision-making with each patient.
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Copyright (c) 2025 Lucca Tessari Balbinott, João Pedro Bregalda, Roberta Debortoli Moreira, Felipe Ferrari Corrêa, Jocelito Pessotto Junior (Autor)
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