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Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery

J Clin Otolaryngol Head Neck Surg 2011; 22(2):201-207

pISSN: 1225-0244, eISSN: 2713-833X

DOI: https://doi.org/10.35420/jcohns.2011.22.2.201

원저

편도 적출술시 섬유소 응고제(Tachocomb®)이통증 조절에 미치는 영향

최장원1, 김양재1, 구수권1, 송창윤1, 김현규1,*, 조규섭2
Effect of Fibrin Glue(Tachocomb®) on Post-Tonsillectomy Pain
Jang-Won Choi1, Yang-Jae Kim1, Soo-Kweon Koo1, Chang-Yun Song1, Hyun-Kyu Kim1,*, Kyu-Sup Cho2
1부산성모병원 이비인후과
2부산대학교 의학전문대학원 이비인후과학교실
1Department of Otorhinolaryngology-Head and Neck Surgery, Busan St. Mary’s Medical Center, Busan, Korea
2Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University, School of Medicine, Busan, Korea
*교신저자: 김현규，608-838 부산광역시 남구 용호동 538-41 부산성모병원 이비인후과 전화: (051) 933-7214·전송: (051) 956-1956·E-mail： gigaguyver@hanmail.net

© Copyright 2011 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Aug 08, 2011; Revised: Aug 31, 2011; Accepted: Oct 11, 2011

Published Online: May 31, 2020

ABSTRACT

Background and Objectives: Patients who undergo tonsillectomy suffer from pain. This pain induces other symptoms like dysphagia, dehydration. Pain control plays an important role in post-tonsillectomy care. The aim of this study is to investigate usefulness of fibrin glue-solid type (Tachocomb®, Nycomed Austria GmbH, Austria) wound-covering material in reduction of pain after tonsillectomy. Subjects and Method: One hundred seventeen adult-patients underwent tonsillectomy were included in this prospective double-blind study. After removal of both tonsils, electrocauterization was done on both tonsillar beds for sufficient hemostasis. One side of tonsillar bed randomly selected by operating surgeon was coated with the fibrin glue. The other side was left without coating. Pain scores were measured at the first (postoperative day, POD1), second (POD2), third (POD3) and tenth (POD10) day of the operation by using visual analogue scale (VAS). Results : Post-tonsillectomy pain was significantly reduced in the fibrin glue group as compared to the control group (p<0.05).Each mean VAS scores difference after tonsillectomy were 0.99 ±0.27/0.82 ±0.29/1.19 ±0.32/0.83 ±0.20 (POD1/ POD2/POD3/POD10). Conclusion : This study shows that the application of the fibrin glue on tonsillectomy site was effective for postoperative pain control. (J Clinical Otolaryngol 2011;22:201–207)

Keywords: 편도척출술; 통증; 섬유소응고제
Keywords: Tonsillectomy; Pain; Fibrin tissue adhesive