INTRODUCTION Tonsillectomy is one of the most common surgeries in the world and the most common problem is post-tonsillectomy pain and bleeding. The relief of postoperative pain helps increase early food intake and prevent secondary dehydration. One method for relieving pain is peritonsillar injection of epinephrine along with an anesthetic, which has been shown to produce variable results in p...

BACKGROUND Various methods have been described for tonsillectomy. Convincing evidence in the literature is still lacking regarding the optimal method of performing this surgical procedure. AIM To investigate the outcome of bipolar scissors tonsillectomy and compare it to bipolar diathermy forceps tonsillectomy. METHODS A prospective study of 91 patients was done at Cairo University Hospital...

I read the article written by Ranieri Junior et al. in your journal and aggree with the authors’ take. The use of a laryngeal mask airway in adenotonsillectomies is possible; however, the tracheal tube is safer compared to the laryngeal mask. In recent publications, the use of LMA is reported superior to endotracheal entubation at adenotonsillectomy operations. I believe that LMA use for pediat...

OBJECTIVE/HYPOTHESIS To reconcile conflicting reports and opinions of the value of preoperative coagulation studies for patients undergoing tonsillectomy. STUDY DESIGN Meta-analysis: Articles were identified by MEDLINE search, references from review articles, textbook chapter, and retrieved reports. Independent observers selected prospective trials of patients undergoing tonsillectomy or aden...

normal 0 false false false en-us x-none ar-sa background : coblation tonsillectomy is a new surgical technique and demands further research to be proven as a suitable and standard method of tonsillectomy. this study compares coblation and traditional tonsillectomy techniques in view of their advantages and complications. methods : in a prospective double-blind randomized controlled trial inform...

OBJECTIVE To determine whether a single intraoperative dose of intravenous dexamethasone has an effect on pain after tonsillectomy. DESIGN Double-blinded randomized controlled clinical trial. SUBJECTS Thirty-four consecutive nonpediatric patients presenting for tonsillectomy. INTERVENTION Patients scheduled for electrocautery tonsillectomy were randomized to receive either intravenous dex...

Tonsillar enlargement is a more common cause of obstructive sleep apnea (OSA) in the pediatric population than it is in adults. The small number of reported cases suggests that tonsillectomy for adult patients with this association may be as a successful as it is known to be for children. We compared polysomnographic findings and/or symptomatology both before and after tonsillectomy in six pati...

OBJECTIVES The present clinical practice guidelines cover the entire field of management of post-tonsillectomy pain. Given the French and European regulatory restrictions on the use of codeine, an update appears necessary to clarify the management of post-tonsillectomy pain in adults. METHOD A work group approached the issue of pain management, following the chronological pathway from initial...

Introduction: Tonsillectomy is one of the commonest surgical procedures performed worldwide and has implications for reducing morbidity patients. There been variability in tonsillectomy care patterns but we are unaware any study conducted Tanzania to survey such variable patterns. The objective this assess current peri-operative care, techniques used outcome by otorhinolaryngologists Tanzania.&...

OBJECTIVES To determine whether meta-analysis supports the use of corticosteroids to reduce post-tonsillectomy pain for pediatric patients. METHODS A systematic review of currently available randomized controlled trials using a single-dose, intravenous corticosteroid during pediatric tonsillectomy was performed. Visual analog pain scale (VAS) data was extracted with reviewers blinded to resul...