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Guillotine and dissection tonsillectomy in children

Published online by Cambridge University Press:  29 June 2007

Yaşar Ünlü ,
Şerif Ali Tekalan ,
Refik Cemiloglu ,
Ibrahim Ketenci  and
Ahmet Kutluhan
Yaşar Ünlü*
Affiliation:
Department of Otolaryngology, Erciyes University, School of Medicine, Kayseri, Turkey.
Şerif Ali Tekalan
Affiliation:
Department of Otolaryngology, Erciyes University, School of Medicine, Kayseri, Turkey.
Refik Cemiloglu
Affiliation:
Department of Otolaryngology, Erciyes University, School of Medicine, Kayseri, Turkey.
Ibrahim Ketenci
Affiliation:
ENT Surgeon, Kayseri, Turkey.
Ahmet Kutluhan
Affiliation:
Department of Otolaryngology, Erciyes University, School of Medicine, Kayseri, Turkey.
*
Department of Otolaryngology, Erciyes University, School of Medicine, Kayseri, 38039, Turkey.
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Abstract

Tonsillectomy as an outpatient or same day-stay procedure is becoming increasingly popular. A retrospective study was performed on 1,049 children who underwent tonsillectomy and adenotonsillectomy either with guillotine or dissection with snare method. The dissection method was performed both under general anaesthesia and with local anaesthesia, but the guillotine method was performed only with local anaesthesia. Generally, bleeding control required no special intervention in the guillotine method but haemostasis was achieved by ligation and electrocauterization in one-third of the patients in the dissection group operated under general anaesthesia. The greatest percentage of haemorrhage in both methods occurred within the first four post-operative hours. There was a 1.8 per cent incidence of severe reactive haemorrhage required surgical intervention in the dissection group operated under general anaesthesia, but there was no such case in the guillotine group.

The results of this study show that in carefully selected children guillotine tonsillectomy with local anaesthesia is a safe, time saving and cost-effective procedure.

Keywords

Tonsillectomyguillotinedissection
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 106 , Issue 9 , September 1992 , pp. 817 - 820
Copyright
Copyright © JLO (1984) Limited 1992

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