title: A comparison of postoperative pain and complications in tonsillectomy using BiClamp forceps and electrocautery tonsillectomy.
abstract: OBJECTIVE
  To compare the efficacy and safety of BiClamp forceps tonsillectomy (BT) with standard electrocautery tonsillectomy (ET) in terms of postoperative pain and complication rates.
  
  
  METHODS
  Prospective randomized study.
  
  
  METHODS
  The following variables were examined: postoperative complications, intraoperative blood loss, operating time, postoperative pain and diet scores using visual analog scales, and time until return to normal activity.
  
  
  RESULTS
  The mean operating time and the grade of intraoperative blood loss were significantly lower in the BT group than in the ET group for both pediatric and adult patients. For adult patients, the overall complication rates were significantly lower in the BT group. In addition, a significant early decrease in the pain score and significant improvement in dietary intake until postoperative day 14 were observed in the BT group for both pediatric and adult patients.
  
  
  CONCLUSIONS
  The use of BiClamp forceps in tonsillectomy reduces the intraoperative blood loss and postoperative pain score, and facilitates an early return to normal diet and activity.
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery, Soonchunhyang University College of Medicine, Wonmi-Gu, Bucheon, Korea.
authors.forename: Seung Won
authors.initials: SW
authors.lastname: Lee
authors.forename: Soo Sung
authors.initials: SS
authors.lastname: Jeon
authors.forename: Jong Dae
authors.initials: JD
authors.lastname: Lee
authors.forename: Jae Yong
authors.initials: JY
authors.lastname: Lee
authors.forename: Shi Chan
authors.initials: SC
authors.lastname: Kim
authors.forename: Yoon Woo
authors.initials: YW
authors.lastname: Koh
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D004564:Electrocoagulation; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D010149:Postoperative Pain / Q000453:epidemiology; D011183:Postoperative Complications / Q000453:epidemiology*; D011446:Prospective Studies; D013525:Surgical Instruments; D014068:Tonsillectomy / Q000295:instrumentation* / Q000379:methods*