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Histological analysis of tonsillectomies: relationship with surgical technique, post-operative pain and haemorrhage

  • ML Magdalena (a1), A Solé (a1), V Blanco (a2) and JP Rodrigo (a3)

Abstract

Objectives:

There is no consensus on the optimal technique to decrease post-tonsillectomy morbidity. Histopathological analysis can estimate collateral tissue damage. This study compared histological findings for tonsils removed by cold or electrocautery dissection and their relationship with post-operative complications.

Methods:

Two adult out-patient groups were included in the study: 37 who underwent cold dissection and 37 who underwent electrocautery dissection. Histological analysis was used to assess tissue damage.

Results:

Tissue damage was significantly higher in the electrocautery dissection group (p = 0.002), as were the number of emergency department visits (p = 0.01) and the need for supplemental analgesia (p = 0.013). Patients in the cold dissection group experienced less pain (p = 0.001) and fewer secondary haemorrhage episodes.

Conclusion:

Cold dissection produces less tissue damage, which is associated with lower incidence of complications. This study suggests that cold dissection is the technique of choice for tonsillectomy.

Copyright

COPYRIGHT: © JLO (1984) Limited 2016 

Corresponding author

Address for correspondence: Dr M L Magdalena, Roces de Colloto, 53, 33010, Oviedo, Asturias, Spain E-mail: luzcolloto@gmail.com

References

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  • Cited by 3

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Histological analysis of tonsillectomies: relationship with surgical technique, post-operative pain and haemorrhage

  • ML Magdalena (a1), A Solé (a1), V Blanco (a2) and JP Rodrigo (a3)

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