Open AccessMolecular Resonance Tonsillectomy in Children: Comparative Study over Standard Techniques in an 11‐Year Study
Author(s) -
D'Eredita Riccardo
Publication year - 2013
Publication title -
otolaryngology–head and neck surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.232
H-Index - 121
eISSN - 1097-6817
pISSN - 0194-5998
DOI - 10.1177/0194599813495815a255
Subject(s) - tonsillectomy , medicine , blood loss , surgery , prospective cohort study , magnetic resonance imaging , trial registration , postoperative pain , anesthesia , randomized controlled trial , radiology
Objectives: Learn the quantum molecular resonance (QMR) technology. An analysis of outcomes of QMR compared to standard cold‐knife (CK) and monopolar cautery (MPC) for pediatric tonsillectomy offers new possibilities, lowering postoperative morbidity. Methods: Eleven‐year, prospective, three‐group trial in a tertiary care pediatric institution. 857 children undergoing tonsillectomy were randomly assigned to QMR (n = 287), CK (n = 285) or MPC (n = 285) techniques. Main outcome measures included intraoperative time, blood loss, postoperative pain, weight loss, and random histopathologic examination on excised tonsils. Results: Histopathologic evaluation revealed reduced thermal injury with QMR over MPC (43 microns vs. 186, P <. 001) and was statistically associated with reduced muscular, blood vessel, and nerve fiber damage compared to CK ( P <. 001). No intraoperative blood loss was observed in QMR. Significant reduced pain scores were related to QMR ( P <. 002). The QMR patients regained normal diet and weight gain during the 10‐day postoperative period. One QMR, 15 CK, and 12 MPC patients experienced delayed bleeding. Conclusions: Molecular resonance for pediatric tonsillectomy resulted in reduced histopathologic thermal injury, lower pain scores, and reduced postoperative morbidity compared with CK and MPC techniques in an 11‐year study.