Please use this identifier to cite or link to this item:
Title: Cost and outcomes after cold and mixed adenotonsillectomy in children
Authors: Ferreira, R.F.
Serapiao, C.J.
Ferreira, A.P.R.B.
Rajgor, D.
Shah, J. 
Possamai, D.S.
Pietrobon, R. 
Keywords: Adenotonsillectomy
randomized trial
Issue Date: Nov-2010
Citation: Ferreira, R.F., Serapiao, C.J., Ferreira, A.P.R.B., Rajgor, D., Shah, J., Possamai, D.S., Pietrobon, R. (2010-11). Cost and outcomes after cold and mixed adenotonsillectomy in children. Laryngoscope 120 (11) : 2301-2305. ScholarBank@NUS Repository.
Abstract: Objective/Hypothesis: To compare cold and mixed (electrocautery tonsillectomy with curettage adenoidectomy) adenotonsillectomies in children in terms of hospital medications' and materials' costs, surgical time, aspirated blood volume, and postoperative pain. Study Design: Randomized clinical trial in community hospitals. Methods: Seventy-two patients aged 3 to 12 years, undergoing adenotonsillectomy, were randomized in two groups through sealed envelopes that were opened just prior to the procedure. Surgical time and aspirated blood volume were measured by a staff nurse. Hospital medication and material costs were supplied by the hospital's accounting department. A validated facial pain scale was used from the day of surgery to the 10th postoperative day to quantify pain. Results: Bicaudal t test showed that materials' cost was lower in the mixed technique. Surgical time and aspirated blood volume were also lower with the mixed technique. The postoperative pain was more intense in the cold technique on the day of surgery, but was more intense in the mixed technique from the 4th day to the 6th day. Linear regression showed a weak association between materials' cost and aspirated blood volume. Conclusions: Mixed technique reduces the costs of materials while offering the patient and the surgeon a safer and faster method to perform adenotonsillectomy, although it is slightly more painful than the cold technique in the latter part of the postoperative period. © 2010 The American Laryngological, Rhinological and Otological Society, Inc.
Source Title: Laryngoscope
ISSN: 0023852X
DOI: 10.1002/lary.21137
Appears in Collections:Staff Publications

Show full item record
Files in This Item:
There are no files associated with this item.


checked on Nov 30, 2021


checked on Nov 30, 2021

Page view(s)

checked on Dec 2, 2021

Google ScholarTM



Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.