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Post-operative morbidity in electrodissection tonsillectomy

Published online by Cambridge University Press:  29 June 2007

H. L. Tay
H. L. Tay*
Affiliation:
Department of Otolaryngology, Ninewells Hospital, Dundee.
*
Address for correspondence: Mr H. L. Tay, F.R.C.S., Department of Otolaryngology, Ninewells Hospital, Dundee DD1 9SY. Fax: 0382-632816
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Abstract

A prospective randomized study was carried out to assess the post-tonsillectomy morbidity of the electrodissection technique as opposed to the blunt dissection and ligation technique. One hundred and four patients, each serving as his or her own control, were randomized to have either the right or left tonsil removed by electrodissection. There was significantly less pharyngeal pain on the electrodissection side in the first postoperative day in adult patients. This, however, was transient as there was increased pharyngeal discomfort and otalgia, both in severity and duration, on the electrodissection side by the end of first week. There was no difference in the incidence of haemorrhage between the two techniques.

Keywords

Pain, post-operativeTonsillectomyDiathermy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 3 , March 1995 , pp. 209 - 211
Copyright
Copyright © JLO (1984) Limited 1995

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References

Carmody, D., Vamadevan, T., Cooper, S. M. (1982) Post-tonsillectomy haemorrhage. Journal of Laryngology and Otology 96: 635–638.CrossRefGoogle ScholarPubMed
Choy, A. T. K., Su, A. P. (1992) Bipolar diathermy or ligation for haemostasis in tonsillectomy? A prospective study on post-operative pain. Journal of Laryngology and Otology 106: 21–22.CrossRefGoogle ScholarPubMed
Murty, G. E., Watson, M. G. (1990) Diathermy haemostasis at tonsillectomy: current practice – a survey of UK otolaryngologists. Journal of Laryngology and Otology 104: 549–552.CrossRefGoogle Scholar
Papangelou, L. (1972) Haemostasis in tonsillectomy. A comparison of electrocoagulation and ligation. Archives of Otolaiyngology 96: 358–360.CrossRefGoogle ScholarPubMed
Phillipps, J. J., Thornton, A. R. D. (1989) Tonsillectomy haemostasis: diathermy or ligation. Clinical Otolaryngology 14: 419–424.CrossRefGoogle ScholarPubMed
Roy, A., De La Rosa, C., Vecchio, Y. A. (1976) Bleeding following tonsillectomy: a study of electrocoagulation and ligation techniques. Archives of Otolaryngology 102: 9–10.CrossRefGoogle ScholarPubMed
Salam, M. A., Cable, H. R. (1992) Post-tonsillectomy pain with diathermy and ligation techniques. A prospective randomized study in children and adults. Clinical Otolaryngology 17: 517–519.CrossRefGoogle ScholarPubMed
Siodlak, M. Z., Gleeson, M. J., Wengraf, C. L. (1985) Post-tonsillectomy secondary haemorrhage. Annals of the Royal College of Surgeons 67: 167–168.Google ScholarPubMed
Watson, M. G., Dawes, P. J. D., Samuel, P. R., Marshall, H. F., Rayappa, C., Hill, J.Meikle, D., Murty, G. E., Deans, J. A. J., Telios, G., Alden, C., Birchall, J. P., Pritchard, A. J. N., Livesey, J., Appleton, D. (1993) A study of haemostasis following tonsillectomy comparing ligatures with diathermy. Journal of Laryngology and Otology 107: 711–715.CrossRefGoogle ScholarPubMed
Weimert, T. A., Babyak, J. W.. Richter, H. J. (1990) Electrodissection tonsillectomy. Archives of Otolaryngology, Head and Neck Surgery 116: 186–188.CrossRefGoogle ScholarPubMed