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Paediatric tonsillectomy: bipolar electrodissection and dissection/snare compared

Published online by Cambridge University Press:  29 June 2007

Y. T. Pang
Y. T. Pang*
Affiliation:
Department of Otolaryngology, University of Manchester School of Medicine, Hope Hospital, Salford, UK.
*
Dr Y. T. Pang, 201 Beechwood House, Melville Grove, Freeman Hospital, Newcastle Upon Tyne, NE7 7AG
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Abstract

Tonsillectomy is a common operation in children performed by a variety of techniques. Recently we have introduced a modified form of electrodissection tonsillectomy using bipolar diathermy. A prospective study was designed to evaluate this technique against the conventional dissection/snare technique. Sixty children were entered into each section of the study (total 120 children). There is a statistically significant shorter operating time (mean 11.2 minutes) and lower intraoperative blood loss (mean 5 ml) using the bipolar diathermy technique. Post-operatively, the children who had bipolar diathermy tonsillectomy were found to be able to drink and eat significantly earlier than the cold dissection group. There was no measurable difference in analgesia requirements before discharge and the time of discharge between the two methods. Post-operative haemorrhage occurred in two out of 60 (3.4 per cent) and one out of 60 (1.7 per cent children) in the conventional and bipolar diathermy dissection, respectively, but this was not statistically significant.

Keywords

TonsillectomyDiathermy, bipolar, complicationsChild
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 8 , August 1995 , pp. 733 - 736
Copyright
Copyright © JLO (1984) Limited 1995

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References

British National Formulary (1993) Number 25. British Medical Association.Google Scholar
Carithers, J. S., Gebhart, D. E., Williams, J. A. (1987) Postoperative risk of paediatric tonsilloadenoidectomy. Laryngoscope 97: 422–429.CrossRefGoogle ScholarPubMed
Goycoolea, M. V., Cubillod, P. M., Martinez, G. C. (1982) Tonsillectomy with a suction coagulator. Laryngoscope 92: 818–819.CrossRefGoogle ScholarPubMed
Haberman, R. S. II., Shattuck, T. G., Dion, N. M. (1990) Is outpatient suction cautery tonsillectomy safe in a community hospital setting? Laryngoscope 100: 511–515.CrossRefGoogle Scholar
Hall, G. M. (1984) Cautery tonsillectomy-saves time. Laryngoscope 94: 1381–1382.CrossRefGoogle ScholarPubMed
Handler, S. D., Miller, L., Richmond, K. H., Corso Baranak, C. (1986) Post-tonsillectomy haemorrhage: incidence. prevention and management. Laryngoscope 96: 1243–1247.CrossRefGoogle ScholarPubMed
Kristensen, S., Tveteras, K. (1984) Post-tonsillectomy haemorrhage: a retrospective study of 1150 operations. Clinical Otolaryngology 9: 347–350.CrossRefGoogle ScholarPubMed
Lawrenson, K. B., Stephens, F. O. (1970) The use of electrocutting and electrocoagulation in surgery. Australian and New Zealand Journal of Surgery 39: 417–421.CrossRefGoogle ScholarPubMed
Linden, B. E., Gross, C. W., Long, T. E., Lazar, R. H. (1990) Morbidity in pediatric tonsillectomy. Laryngoscope 100: 120–124.CrossRefGoogle ScholarPubMed
Mann, D. G., St George, C., Granoff, D., Schemer, E., Imber, P., Mlynarczyk, F. A. (1984) Tonsillectomy–some like it hot. Laryngoscope 94: 677–679.CrossRefGoogle ScholarPubMed
Martinez, S. A., Akin, D. P. (1987) Laser tonsillectomy and adenoidectomy. Otolaryngologic Clinics of North America 20: 371–376.CrossRefGoogle ScholarPubMed
McAuliffe, C. J. (1987) The history of tonsil and adenoidal surgery. Otolaryngologic Clinics of North America 20: 415–419.CrossRefGoogle Scholar
Oas, R. E., Bartels, J. P. (1990) KTP-532 laser tonsillectomy: A comparison with standard technique. Laryngoscope 100: 385–388.CrossRefGoogle ScholarPubMed
Pang, Y. T., El-Hakim, H., Rothera, M. P. (1994) Bipolar diathermy tonsillectomy. Clinical OtoLaryngology 19: 355–357.CrossRefGoogle ScholarPubMed
Roy, M., De La Rosa, C., Vecchio, Y. A. (1976) Bleeding following tonsillectomy: a study of electrocoagulation and ligation techniques. Archives of Orolaryngology 102: 9–10.CrossRefGoogle ScholarPubMed
Siodlack, M. Z., Gleeson, M. J., Wengraf, C. L. (1985) Post-tonsillectomy secondary haemorrhage. Annals of the Royal College of Surgeons of England 67: 167–168.Google Scholar
Tami, T. A., Parker, G. S., Taylor, R. E. (1987) Post-tonsillectomy bleeding: an evaluation of risk factors. Laryngoscope 97: 1307–1311.CrossRefGoogle ScholarPubMed
Unlu, Y., Terkalan, S. A., Cemiloglu, R., Ketenci, I., Kutluhan, A. (1992) Guillotine and dissection tonsillectomy in children. Journal of Laryngology and Otology 106: 817–820.CrossRefGoogle ScholarPubMed
Wake, M., Glossop, P. (1989) Guillotine and dissection tonsillectomy compared. Journal of Laryngology and Otology 103: 588–591.CrossRefGoogle ScholarPubMed
Weimert, T. A., Babyak, J. W., Richter, H. J. (1990) Electrodissection tonsillectomy. Archives of Otolaryngology, Head and Neck Surgery 116: 186–188.CrossRefGoogle ScholarPubMed
Weligodapola, G. S. (1983) Comparative study of tonsillectomy performed by guillotine and dissection methods. Journal of Laryngology and Otology 97: 605–606.CrossRefGoogle ScholarPubMed
Yuan, C. C., Yu, D., Jun, T. S. (1984) Guillotine tonsillectomy without anesthesia. Auris Nasus Larynx 11:29–35.CrossRefGoogle ScholarPubMed