Tonsil Disease, Tonsil Disorder
Conditions
Keywords
tonsillectomy
Brief summary
This prospective, non-randomized observational study compared the surgical outcomes of BiZact™, Coblation, and Bipolar tonsillectomy techniques in pediatric and adult patients. Operative efficiency, postoperative pain, recovery parameters, postoperative bleeding, and device-related costs were evaluated.
Detailed description
Tonsillectomy is a commonly performed surgical procedure in otorhinolaryngology, and various techniques have been developed to improve operative efficiency and postoperative recovery. This prospective, non-randomized observational study included 150 patients aged 5-40 years who underwent tonsillectomy between November 2024 and September 2025. Patients were allocated to Bipolar, Coblation, or BiZact tonsillectomy groups based on surgeon preference and device availability. Primary outcome measures were operative time and postoperative pain assessed using the visual analogue scale on postoperative days 1, 3, and 7. Secondary outcomes included time to first solid food intake, length of hospital stay, postoperative bleeding, bleeding management, and device-related cost. The study aimed to compare clinical outcomes, recovery profiles, and procedural efficiency among the three tonsillectomy techniques.
Interventions
None listed
Sponsors
Medicana Bursa Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
5 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* Age between 5 and 40 years * Undergoing tonsillectomy * Indication for surgery due to recurrent tonsillitis or obstructive sleep-related symptoms
Exclusion criteria
* Known coagulation disorders * Presence of peritonsillar abscess * Presence of craniofacial syndromes * Incomplete follow-up data
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pain (Visual Analog Scale score) | Postoperative days 1, 3, and 7 | Postoperative pain was assessed using the Visual Analog Scale (VAS), a 10-cm scale ranging from 0 to 10, where 0 indicates no pain and 10 indicates the worst pain imaginable. Higher scores represent greater pain intensity. |
| Surgery time | During surgery | — |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative bleeding | Up to 30 days postoperatively | — |
| Length of hospital stay | Postoperative Day 1 | Duration of hospitalization measured in days following tonsillectomy. |
| Time to first solid food intake | Within the first postoperative week | — |
| Device cost per case | Perioperative period (day of surgery) | Cost of the surgical device used for tonsillectomy, calculated per patient. |
Countries
Turkey (Türkiye)
Outcome results
None listed