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Diathermy haemostasis at tonsillectomy: Current practice—A survey of U.K. otolaryngologists

Published online by Cambridge University Press:  29 June 2007

G. E. Murty  and
M. G. Watson
G. E. Murty*
Affiliation:
Newcastle upon Tyne
M. G. Watson
Affiliation:
Newcastle upon Tyne
*
ENT Department, Freeman Hospital, High Heaton, Newcastle upon Tyne NE7 7DN
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Abstract

The use of diathermy in achieving haemostasis at tonsillectomy was assessed by means of a postal questionnaire sent to consultant otolaryngologists practising in the U.K. A response of 81 per cent was obtained. Forty-four per cent presently use diathermy. Few considered the age of the patient or a history of a quinsy a contraindication to its use. The diathermy experience of users and non-users with regard to speed, postoperative pain and haemorrhage differs markedly. This dichotomy of opinion is confirmed by a review of the literature. Clearly there is a need for further studies to clarify the role of diathermy in tonsillectomy.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 104 , Issue 7 , July 1990 , pp. 549 - 552
Copyright
Copyright © JLO (1984) Limited 1990

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References

Billroth, T. (1870) Tonsillectomy. Lancet, 2: 747.Google Scholar
Ball, C. E. (1948) Nasal and post-operative tonsil and adenoid hemorrhage. Prevention and control. Texas State Journal of Medicine, 44: 437–440.Google ScholarPubMed
Carmody, D., Vamadevan, T., Cooper, S. M. (1982) Post-tonsillectomy haemorrhage. Journal of Laryngology and Otology, 96: 635–638.CrossRefGoogle ScholarPubMed
Cohen, L. (1909) Post-operative tonsillar bleeding. Its surgical control, with mention of cases. Journal of the American Medical Association, 53: 698–701.CrossRefGoogle Scholar
de Santi, P. R. W. (1894) Haemorrhage following tonsillectomy; its causes and appropriate treatment. Lancet, 1: 83–86.CrossRefGoogle Scholar
Ellegood, J. A. (1898) The treatment of chronic inflammation of the tonsils. Journal of the American Medical Association, 30: 593–594.CrossRefGoogle Scholar
Gardner, J. F. (1968) Sutures and disasters in tonsillectomy. Archives of Otolaryngology, 88: 551–555.CrossRefGoogle ScholarPubMed
Haase, F. R., Noguera, J. T. (1962) Haemostasis in tonsillectomy by electrocautery. Archives of Otolaryngology, 75: 125–126.CrossRefGoogle ScholarPubMed
Jackson, C. (1907) Tonsillar haemorrhage and its surgical treatment. Annals of Surgery, 46: 821–825.CrossRefGoogle ScholarPubMed
Jay, H. M. (1926) Factors contributing to the occurrence of haemorrhage in tonsillectomy. Journal of Laryngology and Otology, 41: 28–31.CrossRefGoogle Scholar
Johnson, F. (1962) Electrocautery in tonsil and adenoid surgery. Archives of Otolaryngology, 75: 127–129.CrossRefGoogle ScholarPubMed
MacKenzie, I. J., Johnson, A. P., Maran, A. G. D. (1983) Prospective study of pain and haemorrhage following tonsillectomy. Clinical Otolaryngology, 8: 366.Google Scholar
Maniglia, A. J., Kushner, H., Cozzi, L. (1989) Adenotonsillectomy—a safe outpatient procedure? Archives of Otolaryngology Head and Neck Surgery, 115: 92–94.CrossRefGoogle Scholar
McAuliffe Curtin, J. (1987) The history of tonsil and adenoid surgery. Otologic Clinics of North America, 20: 415–419.CrossRefGoogle Scholar
Moore, I. (1918) Haemorrhage following removal of the tonsils, and its treatment. Practitioner, 1: 334–361.Google Scholar
Papangelou, L. (1972) Haemostasis in tonsillectomy. A comparison of electrocoagulation and ligation. Archives of Otolaryngology, 96: 358–360.CrossRefGoogle ScholarPubMed
Phillipps, J. J., Thornton, A. R. D. (1989) Tonsillectomy haemostasis: diathermy or ligation. Clinical Otolaryngology, 14: 419–424.CrossRefGoogle ScholarPubMed
Proctor, D. F., Douglass, C. C. (1958) Bleeding following tonsil and adenoid operations. Transactions of the American Academy of Ophthalmology and Otolaryngology, 62: 592–597.Google ScholarPubMed
Pynchon, E. (1898) The submerged tonsil. Annals of Otology, Rhinology and Laryngology, 7: 649–655.CrossRefGoogle Scholar
Reed, K., Snider, C. J. (1974) Bipolar forceps for electrocautery in tonsillectomy. Transactions of the American Academy of Ophthalmology and Otolaryngology, 78: 285–286.Google ScholarPubMed
Roy, A., de la Rosa, C., Vecchio, Y. A. (1976) Bleeding following tonsillectomy: a study of electrocoagulation and ligation techniques. Archives of Otolaryngology, 102: 9–10.CrossRefGoogle ScholarPubMed
Seltzer, A. P. (1969) Control of tonsillar haemorrhage: Use of a new cellulose material. Journal of the National Medical Association, 61: 333–334.Google ScholarPubMed
Siodlak, M. Z., Gleeson, M. J., Wengraf, C. L. (1985) Post-tonsillectomy secondary haemorrhage. Annals of the Royal College of Surgeons, 67: 167–168.Google ScholarPubMed
Weighill, J. S., Proops, D. W., Jeffries, D., Brandrick, J. (1986) Pain relief following tonsillectomy (Does sewing the faucial pillars together help?) Journal of Laryngology and Otology, 100: 307–310.CrossRefGoogle ScholarPubMed