OBJECTIVES Coblation is operated in low temperature, so it is proposed that tonsillectomy with coblation involves less postoperative pain and allows accelerated healing of the tonsillar fossae compared with other methods involving heat driven processes. However, the results of the previous studies showed that the effect of coblation tonsillectomy has been equivocal in terms of postoperative pai...

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...

BACKGROUND Initial validation and feasibility of the Post-Operative Quality of Recovery Scale (PQRS) was published in 2010. Ongoing validation includes studies to determine whether this scale can discriminate differences in recovery in similar patients having different surgery. METHODS A prospective observational study included 89 patients undergoing nasal surgery and 46 patients undergoing t...

Spontaneous tonsillar hemorrhage from infectious causes is extremely rare and post-tonsillectomy hemorrhage, although also relatively rare, is an unavoidable complication of the procedure. Hemorrhage in association with tonsillitis or tonsillectomy is potentially dangerous and can be life threatening. We report here the presentation and management of a 42-yr-old man with severe spontaneous hemo...

Objective : To evaluate the effects of a single dose of intravenous dexamethasone on postoperative pain and complications after adult tonsillectomy. Methods : Fifty patients scheduled for elective tonsillectomy were recruited to this randomized, double-blind, placebo-controlled study. Dexamethasone 20 mg intravenously was given after intubation in one group whereas the placebo group, saline sol...

OBJECTIVES Traditionally secondary post-tonsillectomy haemorrhage has been thought to be due to post-operative infection and as such is treated with broad-spectrum antibiotics. The aim of this study was to identify clinical evidence of infection in patients with secondary post-tonsillectomy haemorrhage that might justify the use of antibiotics in these patients. DESIGN Prospective data collec...

This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unresricted use, distribution, and reproduction in any medium, provided the original work is properly cited. It is with great interest that I read the research article by Dr. Mogadam and colleagues: Comparison of Analgesic Effect betw...

in this study, the aim was the evaluation of effect of intravenous (iv) administration of ketamine, peritonsillar infiltration of tramadol and their combination for control of post-operative pain in comparison with single use of each drug in children undergoing tonsillectomy. one hundred and twenty children, aged 2-15 years, selected for elective adenotonsillectomy were enrolled in the study. w...

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 elect...