Killian nasal speculum-assisted tonsillectomy under local anesthesia Killian nazal spekülüm yardımıyla lokal tonsillektomi

Ünal A., ÖZLÜGEDİK S., Titiz A., Yilmaz Y. F., Sari K., GAMLI M.

Turkiye Klinikleri Journal of Medical Sciences, cilt.33, sa.3, ss.607-612, 2013 (Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 33 Sayı: 3
  • Basım Tarihi: 2013
  • Doi Numarası: 10.5336/medsci.2011-27871
  • Dergi Adı: Turkiye Klinikleri Journal of Medical Sciences
  • Derginin Tarandığı İndeksler: Scopus
  • Sayfa Sayıları: ss.607-612
  • Anahtar Kelimeler: Anesthesia, Blood loss, Local, Surgical, Tonsillectomy
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Objective: To describe Killian nasal speculum-assisted tonsillectomy under local anesthesia in detail and to question the experience of our patients with this surgical procedure. Material and Methods: Group 1 included patients that underwent Killian nasal speculum-assisted tonsillectomy under local anesthesia (n=44) and Group 2 those who underwent classical cold dissection tonsillectomy under general anesthesia (n=28). Results: Among the patients in Group 1, 59.1% (26/44) reported mild, 27.3% (12/44) moderate, and 13.6% (6/44) excessive levels of anxiety preoperatively. All patients in Group 1 reported that they felt safe during surgery; 84.1% (37/44) reported that the surgery was easier than they had anticipated, whereas 15.9% (7/44) reported it was more difficult than anticipated. Duration of surgery in Groups 1 and 2 was 22.7 ± 7.0 minutes and 63.7 ± 16.3 minutes, respectively (p<0.001), and the median volume of intraoperative bleeding was 5 mL (range, 1-90 mL) and 180 mL (range, 40-400 mL), respectively (p < 0.001). No intraoperative complication developed in either group and the amount of postoperative bleeding did not show a significant difference between the groups. Conclusion: In selected adult patients, Killian nasal speculum-assisted tonsillectomy under local anesthesia is a time saving procedure, which produces less intra-operative blood loss compared to cold dissection tonsillectomy under general anesthesia. © 2013 by Türkiye Klinikleri.