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 unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Tonsillectomy is the second most common childhood ambulatory surgical procedure, and in the United States alone it is perfor...

Introduction: Various hemostatic and analgesic agents and techniques have been used to reduce intraoperative and postoperative hemorrhage and pain in tonsillectomy.Aims and objective; The current study aimed to compare the effect of using adrenaline plus tramadol and normal saline in maintaining hemostasis and control of pain in cold dissection tonsillectomy.   Materials and Methods: This pros...

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...

OBJECTIVES We evaluated the alleviation of post-tonsillectomy pain with systemic and topical applications. PATIENTS AND METHODS Data obtained from 78 patients (28 females, 50 males) who had undergone tonsillectomy for recurrent tonsillitis by conventional cold surgery were reviewed with prospective, randomized clinical study. Initially, the patients were assigned into topical and systemic dru...

OBJECTIVE To conduct an adequately powered, prospective, randomised, controlled trial comparing adult dissection tonsillectomy using either ultrasonic scalpel, bipolar electrocautery, bipolar radiofrequency or 'cold steel' dissection. METHODS Three hundred patients were randomised into four tonsillectomy technique groups. The operative time, intra-operative bleeding, post-operative pain, tons...

OBJECTIVE To compare harmonic scalpel (HS) tonsillectomy with electrocautery (EC) tonsillectomy in terms of operating time, intra-operative blood loss, post-operative pain and secondary haemorrhage. METHODS Sixty adult patients subjected to tonsillectomy only, were evaluated in this prospective study. The patients were stratified into 2 groups (30 each) based on the dissecting instrument used...

OBJECTIVES/HYPOTHESIS Monopolar cautery is the most commonly used technique for tonsillectomy. The aim of the present study is to compare postoperative pain using a new technology, PlasmaKnife tonsillectomy (PKT), in comparison with monopolar cautery tonsillectomy (MCT). STUDY DESIGN Prospective, randomized, single-blinded, self-controlled study using paired organs. METHODS Thirty-two adult...

OBJECTIVES/HYPOTHESIS Determine revisits and reasons for revisits after adult tonsillectomy. STUDY DESIGN Cross-sectional analysis of multistate ambulatory surgery and hospital databases. METHODS Ambulatory adult tonsillectomies performed as the sole procedure were extracted from the State Ambulatory Surgery databases for New York, Florida, Iowa, and California for 2010. Cases were linked t...

OBJECTIVE A retrospective study to compare surgical parameters and postoperative pain in patients undergoing coblation tonsillectomy with or without microscopic guidance. METHODS Data regarding duration of surgery and hospital stay, intraoperative blood loss, incidence of haemorrhage and postoperative pain scores were retrieved from the medical records of adult patients undergoing coblation t...

To determine the effectiveness of postoperative local infiltration of Bupivacaine in decreasing post tonsillectomy pain. A double blind randomized clinical trail was conducted. Treatment group was administered 3-10 ml 0.5% Bupivacaine + 1/200000 Epinephrine solution and control group was received 3-10 ml normal saline, locally. Outcome was post surgical pain, which measured by visual analogue s...