Different tonsillectomy techniques in Egypt: advantages and disadvantages — experience and review of literature

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 electrocautery hemostasis, less commonly this study, we described advantages disadvantages of each technique. have shorter operative time intraoperative bleeding, while has postoperative pain complications especially secondary hemorrhage, more rapid wound healing. However, coblation may in first few hours postoperatively relative to Electrocautery most painful method delayed Laser nearly equivalent slightly pain. Cold costly when compared other techniques. Family satisfaction after dependent mainly on recovery. still considered gold standard Caution should taken using trainee surgeons become familiar before shifting From can say that not except mastering tonsillectomy; also, new advanced reserved high-risk patients such as having bleeding disorders.