Hot techniques for tonsillectomy.
(1) Some patients experience pain and bleeding after a standard or extracapsular tonsillectomy. (2) Evidence suggests that none of the hot tonsillectomy techniques offers concurrent reductions in intra- and post-operative bleeding and pain, compared with traditional cold-steel dissection with packs or ties. (3) Little information is available on the cost effectiveness of the hot techniques. (4) Diathermy is likely to remain the most commonly practised hot tonsillectomy technique.
Scott
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A
Canadian Agency for Drugs and Technologies in Health, Ottawa, Canada.
D000233:Adenoidectomy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D000293:Adolescent; D002648:Child; D003080:Cold Temperature; D018795:Device Approval; D003972:Diathermy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D004210:Dissection / Q000295:instrumentation / Q000379:methods; D004564:Electrocoagulation / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D006488:Hemostasis, Surgical / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D006801:Humans; D053685:Laser Therapy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D010149:Postoperative Pain / Q000209:etiology / Q000517:prevention & control; D011183:Postoperative Complications / Q000517:prevention & control; D019106:Postoperative Hemorrhage / Q000209:etiology / Q000517:prevention & control; D016032:Randomized Controlled Trials as Topic; D014068:Tonsillectomy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D014069:Tonsillitis / Q000601:surgery; D014465:Ultrasonics / Q000009:adverse effects; D014481:United States; D014486:United States Food and Drug Administration