The primary objective of this audit and quality improvement project was to retrospectively analyse regional post-tonsillectomy haemorrhage data as per national recommendations. However, this process highlighted the need for high-quality routinely collected data; something that was not always available via retrospective audit and thus does not enable formal aetiological factor analyses. We there...

Abstract Introduction Tonsillectomies are one of the most commonly performed procedures., with particular leading tertiary paediatric centre performing 1,067 tonsillectomies within last year. Post-tonsillectomy haemorrhage is a considerable complication to further primary care costs, readmission, and surgical intervention. Previous national audits have suggested that post-tonsillectomy rates be...

OBJECTIVE To compare cold dissection to monopolar tonsillectomy in terms of operative time, intraoperative bleeding, post operative bleeding, and pain. METHODS The study included 100 children who underwent tonsillectomy between January 2002 and January 2004. This study was carried out at King Abdul-Aziz University Hospital, Riyadh, Kingdom of Saudi Arabia. Patients were randomly selected to h...

Aim of this study was to compare post-operative recovery over 14 days in children submitted to tonsillectomy using a bipolar radiofrequency-based plasma device (Coblation, Evac 70, ArthroCare Corp, Sunnyvale, CA, USA) to cold dissection. Paediatric patients (n = 42) aged 5-16 years old with chronic tonsillitis underwent tonsillectomy using cold dissection with suture ligatures or a plasma devic...

OBJECTIVES Recent publications have identified different rates of postoperative hemorrhage between "cold" tonsillectomy techniques and "hot" tonsillectomy techniques, generally identifying lower bleeding rates after cold techniques. Data from a prospective institutional review were analyzed to determine the relative risk factors for post-tonsillectomy hemorrhage among different techniques and b...

BACKGROUND The internal carotid artery (ICA) is about 2.5 cm away from the tonsils. It has no branches in the cervical portion. ICA anomalies of the neck zone may result in a massive arterial bleeding during pharynx and neck surgery. Due to these anomalies, the surgeon must be aware of this risk during tonsillectomy, adenoidectomy, and pharyngeal operations.  CASE REPORT A 23-year-old woman who...

OBJECTIVES We performed a single-blind, prospective, randomized, controlled clinical study to compare the rates of postoperative morbidity in adults undergoing thermal welding tonsillectomy versus cold dissection tonsillectomy. METHODS Thirty-two adults with recurrent tonsillitis who were scheduled for elective tonsillectomy were randomized to either thermal welding or cold dissection tonsill...