Abstract
Objective: 1) To learn if application of a novel bioabsorbable material is feasible for use as a posttonsillectomy patch. 2) To determine, based on the limited number of cases, if there is subjective evidence of decreased pain and quicker return to normal diet. 3) To determine if further research is warranted.
Method: The current study was a nonrandomized clinical study in a private practice. Biodesign 4-layer tissue grafts (COOK Medical) were placed in the tonsillar fossa after tonsillectomy. Patients were then questioned on postoperative pain, need for narcotic use, and days to return to normal diet.
Results: The main objective to determine feasibility of placement of a bioabsorbable patch was achieved in all 10 cases. The average placement time per side was 10 minutes, adding 20 minutes/case. Patients were seen at either postopeartive days 2 and 10, and patients were questioned about expected level of pain, need for narcotics, and return to normal diet. All patients on average were noticing significant decreases in pain at days 3 and 4, noted with decreased narcotic intake and return to normal diets. No adverse events were noted with the Biodesign® material.
Conclusion: First, the study demonstrates the feasibility of using Biodesign as a bioabsorbable patch after tonsillectomy. Second, the initial results of this pilot study are very encouraging in providing evidence that a non-energy–based device can provide consistent postoperative pain reduction. Further study is warranted to better measure outcomes.
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