title: Electrodissection tonsillectomy with laryngeal mask.
abstract: The Colorado® microdissection needle has been used for 30 years as an alternative to cold dissection. Alexander was the first to publish the results of laryngeal mask in otorhinolaryngology and maxillofacial surgery. Later on it was introduced as a standard anaesthetic technique in our speciality. Objective The objective of this study was to compare the results of using laryngeal mask combined with Colorado® microdissection needle in tonsillectomies. The benefits of each of these 2 techniques are already known. Methods We present a prospective observational study of 107 paediatric tonsillectomies associated or not to adenoidectomy. Variables analysed are pain (Brodman scale), analgesia, bleeding, uvula oedema and days up to the restoration of diet and normal life. Surgical, anaesthetic and total surgery room times are also discussed. Results The Colorado® electrodissection technique minimised intraoperative bleeding and the need for haemostasis. However, uvula oedema and local pain increased compared with cold dissection. There were no clinical variations in the recovery of normal life. Combining the Colorado® microdissection needle and laryngeal mask reduced intraoperative, anaesthetic and total surgery room times. Conclusions The combination of these two techniques is a secure, quick and effective method that derives benefits from the advantages of both of them, without increasing surgical or anaesthetic risks.
authors.affiliation: Servicio de Otorrinolaringología, Corporación Sanitaria Parc Taulí, Sabadell, Barcelona, España. aldacardesin@yahoo.com
authors.forename: Alda
authors.initials: A
authors.lastname: Cardesín
authors.forename: Yolanda
authors.initials: Y
authors.lastname: Escamilla
authors.forename: Angels
authors.initials: A
authors.lastname: Martínez
authors.forename: Sara
authors.initials: S
authors.lastname: Cardelús
authors.forename: Anton Francesc
authors.initials: AF
authors.lastname: Aguilà
authors.forename: José María
authors.initials: JM
authors.lastname: Saiz
authors.forename: Silvia
authors.initials: S
authors.lastname: López
authors.forename: Joan
authors.initials: J
authors.lastname: Marco
authors.forename: Juan José
authors.initials: JJ
authors.lastname: Díaz
authors.forename: Ricard
authors.initials: R
authors.lastname: Bargués
authors.forename: Rosa
authors.initials: R
authors.lastname: Rosell
authors.forename: Laura
authors.initials: L
authors.lastname: Samarà
mesh_terms: D002648:Child; D002675:Child, Preschool; D003131:Combined Modality Therapy; D004598:Electrosurgery / Q000295:instrumentation*; D006801:Humans; D017214:Laryngeal Masks; D011446:Prospective Studies; D014068:Tonsillectomy / Q000295:instrumentation* / Q000379:methods*