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

Published online by Cambridge University Press:  10 November 2016

ML Magdalena ,
A Solé ,
V Blanco  and
JP Rodrigo
ML Magdalena*
Affiliation:
Department of Ambulatory Surgery, Hospital Universitario Central de Asturias, University of Oviedo, Spain
A Solé
Affiliation:
Department of Ambulatory Surgery, Hospital Universitario Central de Asturias, University of Oviedo, Spain
V Blanco
Affiliation:
Department of Pathology, Hospital Universitario Central de Asturias, University of Oviedo, Spain
JP Rodrigo
Affiliation:
Department of Otolaryngology, Hospital Universitario Central de Asturias, University of Oviedo, Spain
*
Address for correspondence: Dr M L Magdalena, Roces de Colloto, 53, 33010, Oviedo, Asturias, Spain E-mail: [email protected]
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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.

Keywords

TonsillectomyPainAnalgesiaHemorrhageDissectionElectrocoagulation
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 12 , December 2016 , pp. 1142 - 1146
Copyright
Copyright © JLO (1984) Limited 2016 

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