Study of Outcome of Coblation Assisted Versus Dissection and Snare Technique of Tonsillectomy

Dr. Joshena Verma, Dr. Yashveer J. K., Dr. Smita Soni, Dr. Kirti Y. K., Dr. Hima Mohan

Abstract: Background: Tonsillectomy is a common surgical procedure in otolaryngology, yet it is often associated with significant postoperative morbidity. The cold dissection and snare method is widely used, while coblation-assisted tonsillectomy has emerged as a promising alternative due to its minimal thermal injury and faster recovery. This study aimed to compare the efficacy and outcomes of coblation versus cold dissection and snare tonsillectomy techniques. Methods: This prospective observational study was conducted on 55 patients undergoing tonsillectomy at a tertiary care center from June 2023 to December 2024. Patients were divided into two groups: Group A (cold dissection and snare, n=28) and Group B (coblation-assisted, n=27). Operative time, intraoperative blood loss, postoperative pain (VAS score), healing of the tonsillar bed, and surgeon satisfaction were assessed and statistically analyzed. Results: Coblation tonsillectomy significantly reduced operative time (19.85?4.03 min vs. 37.82?5.73 min; p<0.001) and blood loss (8.81?1.59 mL vs. 100.75?7.99 mL; p<0.001) compared to cold dissection. Postoperative pain was significantly lower in the coblation group on day 1 (VAS 4.48 vs. 7.82) and day 7 (VAS 2.0 vs. 4.57) (p<0.05). Healing was faster with coblation, with complete resolution of slough by day 28 in 100% of patients, compared to 78.6% in the cold dissection group. Complication rates and surgeon satisfaction also favored the coblation technique. Conclusions: Coblation tonsillectomy offers superior clinical outcomes over the cold dissection method, including reduced operative time, blood loss, pain, and enhanced healing. It presents a safer, more efficient, and patient-friendly surgical alternative.

Keywords: Tonsillectomy, Coblation, Cold dissection, Postoperative pain, Hemostasis

How to Cite?: Dr. Joshena Verma, Dr. Yashveer J. K., Dr. Smita Soni, Dr. Kirti Y. K., Dr. Hima Mohan, "Study of Outcome of Coblation Assisted Versus Dissection and Snare Technique of Tonsillectomy", Volume 14 Issue 9, September 2025, International Journal of Science and Research (IJSR), Pages: 595-599, https://www.ijsr.net/getabstract.php?paperid=SR25914001630, DOI: https://dx.doi.org/10.21275/SR25914001630