OBJECTIVE To review our experience with intracapsular tonsillectomy using powered instrumentation in the management of tonsillar hypertrophy causing obstructive sleep-disordered breathing in children. STUDY DESIGN Retrospective case series. METHODS Intracapsular tonsillectomy, a form of partial tonsillectomy performed with an endoscopic microdebrider, preserves the tonsillar capsule as a ba...

A seven year old boy underwent routine tonsillectomy. The operation was complicated by catastrophic haemorrhage. The screening tests?Prothrombin Time (PT) and Activated Partial Thromboplastin Time (APTT) were normal. He was treated empirically with fresh frozen plasma but bleeding continued. Bilateral carotid ligation was ultimately required to arrest haemorrhage. He was subsequently referred t...

Introduction: The present study aimed to compare the effect of cold diet and diet at room temperature on post-tonsillectomy pain in children.   Materials and Methods: In the present study a total of 120 children within the age range of 4-12 years who underwent tonsillectomy were randomly assigned to two groups, namely group C with a cold-served diet and group room temperaturewith a room-tempera...

Introduction: Management of pain in children is often inadequate and numerous clinical practice guidelines and policy statements have been published on the subject of pediatric pain. Tonsillectomy is among the most frequent otorhinolaryngologic surgeries, especially in the pediatric age group and after tonsillectomy the patients usually suffer from mild to severe pain for three postoperative d...

Background: Postoperative pain is the most common complication after tonsillectomy. We aimed to explore new parameters related post-tonsillectomy pain, as well construct and validate a model for preoperative evaluation of patients’ risk postoperative pain.

Background/Aim: Tonsillectomy is one of the widely performed surgical procedures by otolaryngologists. Today, many new instruments are used in tonsil surgery to reduce postoperative morbidity. This study aimed compare intraoperative blood loss, operating time, pain, and bleeding between harmonic scalpel tonsillectomy, coblation bipolar cold dissection tonsillectomy adult patients. Methods: pros...

OBJECTIVE To evaluate efficiency and postoperative morbidity in tonsillectomy using the harmonic scalpel (HS) vs conventional electrocautery (EC). DESIGN A retrospective medical chart review of all patients who underwent tonsillectomy at a single children's hospital during a 32-month period from January 2001 to August 2003. PATIENTS The charts of 605 patients who underwent tonsillectomy or ...

INTRODUCTION Spontaneous tonsillar hemorrhage is defined as continuous bleeding for more than one hour, or more than 250mL of blood loss regardless of the duration of bleeding. It is an often under-diagnosed and under-reported complication of acute or chronic tonsillitis, with controversial management. We suggest that an emergency tonsillectomy should be performed as first-line treatment for th...

Post-tonsillectomy pain is a common concern. This study aimed to assess the effectiveness of peritonsillar infiltration tramadol during tonsillectomy in terms analgesia requirement, scores and time commencement liquid diet, as there heterogeneity randomized controlled trials conducted.

Abstract Palatine tonsillectomy is a surgical procedure that novice otolaryngologists should master early and taught at many medical institutions. Unfortunately, however, the transoral cannot provide large enough field of view to doctors other than one performing operation. Therefore, it difficult share real-time teaching. Dissection wrong layer can cause postoperative bleeding pain. Our depart...