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Guillotine tonsillectomy: a neglected technique

Record type: Article

Background
Increased post-operative tonsillectomy haemorrhage rates have been observed following ‘hot’ tonsillectomy techniques, compared with ‘cold steel’ dissection. Post-tonsillectomy haemorrhage rates and the degree of blood loss during guillotine tonsillectomy have not been reported in the recent literature.
Methods
This retrospective case note review assessed the degree of blood loss during guillotine tonsillectomy, as measured by the number of tonsil swabs used, and the post-tonsillectomy haemorrhage rate.
Results
In a group of 168 patients, no tonsil swabs were used in 13.1 per cent of cases, and less than two tonsil swabs were used in 41.1 per cent of cases.
Conclusion
Guillotine tonsillectomy, when performed by the method described in this article, resulted in minimal intra-operative blood loss in 54 per cent of cases, and appeared to have comparable post-tonsillectomy haemorrhage rates to cold steel dissection techniques.

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Citation

Sunkaraneni, V.S., Ismail-Koch, H., Salib, R.J. and Jain, P.K. (2009) Guillotine tonsillectomy: a neglected technique Journal of Laryngology and Otology, 123, (8), pp. 907-909. (doi:10.1017/S002221510900485X).

More information

Published date: 2009
Keywords: tonsil, tonsillitis, tonsillectomy, guillotine, dissection

Identifiers

Local EPrints ID: 73069
URI: http://eprints.soton.ac.uk/id/eprint/73069
ISSN: 0022-2151
PURE UUID: 7817d5ea-35f1-4998-ba9d-3898ddde45f1

Catalogue record

Date deposited: 26 Feb 2010
Last modified: 18 Jul 2017 23:51

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Contributors

Author: V.S. Sunkaraneni
Author: H. Ismail-Koch
Author: R.J. Salib
Author: P.K. Jain

University divisions


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