Post-tonsillectomy pain is a common concern. This study aimed to assess the effectiveness of peritonsillar infiltration tramadol during tonsillectomy in terms analgesia requirement, scores and time commencement liquid diet, as there heterogeneity randomized controlled trials conducted.

Some surgical innovations are no-brainers. No randomized clinical trial was needed when Ann Miller awoke from her puerperal sepsis after an ‘‘off-label’’ injection of penicillin. The Institutional Review Board did not complain when Harvey Cushing, after a bloody initial foray, successfully resected a hypervascular parietal tumor using William T. Bovie’s new electrodesiccator. When Reuben Setlif...

Background: To evaluate whether applying a knot at lower pole during tonsillectomy reduces post-operative haemorrhage. Methods: In this descriptive study 200 patients who were diagnosed cases of recurrent acute tonsillitis were enrolled. They were divided in two groups, each of 100 patients. In one group tonsillectomy was done by conventional scalpel/snare method. In second group tonsillectomy ...

Introduction. Recent changes to primary care trusts' Procedures of Limited Clinical Value (PLCV) policy mean that otolaryngologists must now follow policy rather than exercising clinical judgment when listing patients for tonsillectomy. Objectives. To gauge perception within the general public of when tonsillectomy is acceptable and to compare this to the current policy. Method. All patients or...

To determine the economic impact of adult chronic tonsillitis and the economic improvement from adult tonsillectomy, we studied patients who underwent adult tonsillectomy for chronic tonsillitis with the Glasgow Benefit Inventory and a questionnaire for disease severity parameters before and after tonsillectomy. The economic impact of chronic tonsillitis and adult tonsillectomy were computed wi...

Aseptic loosening is the major failure mode for hip prostheses. Currently, loosened prostheses are revised during open surgery. Because of a high complication rate, this demanding procedure cannot be performed in patients with a poor general health. We are developing an alternative minimally invasive refixation procedure that leaves the prostheses in place, but relies on removing the interface ...

OBJECTIVE We sought to reintroduce a historical procedure-intracapsular tonsillar reduction (partial tonsillectomy or tonsillotomy)-for tonsillar hypertrophy causing obstructive sleep disordered breathing (OSDB) in children, as well as to determine whether partial tonsillectomy, compared with conventional (total) tonsillectomy when performed by more than one surgeon, is equally effective for th...

OBJECTIVES The objective of this study was to compare post-operative visits for upper respiratory infections (URIs) between tonsillectomy and non-tonsillectomy participants (controls). METHODS Using the national cohort study from the Korean Health Insurance Review and Assessment Service, 1:4 matched (age, sex, income, region, and pre-operative URI visit) tonsillectomy participants (5,831) and...

Recurrent rhinosporidiosis is a chronic granulomatous disease with a known tendency to reoccur. Coblation EVAC 70 is a novel surgical tool which seems to provide excellent option in management of this notorious disease. We present an interesting case and the innovative approach in its management, using Coblation system. Introduction. Rhinosporidiosis seeberi causes a chronic granulomatous disea...

Vidian neurectomy has been used to manage intractable vasomotor rhinitis for decades. After the introduction of endoscopic sinus surgery in the 1980s, transnasal endoscopic vidian neurectomy (EVN) was subsequently reported. The most common problem in performing EVN was excessive bleeding from the pterygopalatine fossa. The complexity and vascularity of the pterygopalatine fossa can cause bloody...