Abstract
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.