Effort to engage Magnification Devices in Educational Tonsillectomy - A prospective clinical trial

Tonsillectomy is still one of the most common surgical procedures in otorhinolaryngology [1]. However, over the last decades, its incidence has constantly been decreasing due to tighter indication as well as the development of alternative surgical procedures like tonsillotomy [2]. This trend mainly relies on the risks and complications which are associated with tonsillectomy: namely post-operative bleeding and pain. Primarily, non-steroidal anti-infl ammatory drugs (NSAID) like coxibes, diclofenac, ibuprofen, ketoprofen, and paracetamol, but also several opioids like codeine, tramadol, and piritramid are used in peroral or intravenous regimes [3]. Furthermore, intraoperative instillation of local anaesthetics and the surgical technique seem to reduce postoperative pain [4]. The classical “cold” dissection with ligatures or punctual bipolar coagulation has been joined in the last few years by “hot” dissecting techniques like radiofrequency, laser, diathermy, ultrasound and coblation settings. However, none of these techniques has shown any superiority to the cold steel dissection, especially when comparing the overall Abstract