Introduction: This study aimed to compare operation time, intraoperative bleeding and postoperative pain between cold dissection tonsillectomy and harmonic scalpel tonsillectomy.  Materials and Methods: In this single-blinded clinical trial, 32 patients aged 14–48 were enrolled. Each patient randomly underwent tonsillectomy using the harmonic scalpel on one side and cold dissection on the other...

OBJECTIVE To describe the quality of care for routine tonsillectomy at US children's hospitals. METHODS We conducted a retrospective cohort study of low-risk children undergoing same-day tonsillectomy between 2004 and 2010 at 36 US children's hospitals that submit data to the Pediatric Health Information System Database. We assessed quality of care by measuring evidence-based processes sugges...

UNLABELLED It has been stated, that the administration of Dexamethasone has an impact on the morbidity following tonsillectomy. OBJECTIVE To re-calculate the blood values for Dexamethasone when given as fixed doses and to evaluate the effect of Dexamethasone on post-operative nausea, vomiting and bleeding rates following tonsillectomy. MATERIALS AND METHODS The charts of 272 children (2-15 ...

Abstract The debate about which surgical technique for tonsillectomy could be superior over another is continuous. Tonsillectomy techniques are classified into cold and hot procedures. In techniques, no heat used; they include dissection, guillotine, microdebrider, harmonic scalpel, cryosurgery. Hot electrocautery, coblation, radio frequency, laser. Egypt, the used methods dissection with elect...

OBJECTIVE To assess the effects of nonsteroidal anti-inflammatory drugs (NSAIDs) on bleeding for pediatric adenotonsillectomy in a retrospective study, based on the common practices at 2 different tertiary care facilities. DESIGN A retrospective study. SETTING Two different tertiary care facilities. PATIENTS Children up to 16 years of age, who underwent elective adenotonsillectomy or tons...

OBJECTIVE To evaluate and introduce a new method of tonsillectomy using the Thermal Welding System (TWS). METHOD The TWS is a new surgical instrument which uses direct heat and pressure to seal and divide tissues. Fifty consecutive patients underwent tonsillectomy with the use of the TWS. Inclusion criteria were chronic tonsillitis, peritonsilar abscess history and obstructive sleep apnea syn...

Standard or extracapsular tonsillectomy, which is typically performed under general anesthesia, involves surgically removing the palatine tonsil and capsule, and then sealing bleeding vessels (hemostasis) with ligatures (ties), sutures, or heat (diathermy). In Canada, tonsillectomy is usually performed as day surgery. The most common side effects are pain and bleeding (hemorrhage), but patients...

OBJECTIVE Post-tonsillectomy hemorrhage remains an important factor in determining the safety of performing tonsillectomy as a day case procedure. The aim of this study was to determine the safety of day case tonsillectomy by using combination method, cold dissection tonsillectomy and bipolar diathermy hemostasis. METHODS A prospective randomized clinical study conducted on the patients who h...

Introduction: Tonsillectomy is the most commonly performed surgeries in otolaryngology. Despite evolution surgical and anaesthetic techniques, pain bleeding are still important complications. This study was done to compare following tonsillectomy using monopolar bipolar cautery techniques our population. Methods: It a prospective, longitudinal over period of one year at Gandaki Medical College,...

OBJECTIVE To compare operative time, intraoperative and postoperative bleeding and pain using two different techniques for tonsillectomy: electronic molecular resonance bipolar tonsillectomy and blunt dissection tonsillectomy. METHODS From January 2005 to December 2006, a prospective, randomised study was performed in 800 children, aged from 3 to 10 years, admitted to the ENT (Ear Nose Throat...