Guillotine tonsillectomy: a neglected technique
Guillotine tonsillectomy: a neglected technique
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.
tonsil, tonsillitis, tonsillectomy, guillotine, dissection
907-909
Sunkaraneni, V.S.
ad07934e-5265-45d7-ac9f-b3a5a0b08e10
Ismail-Koch, H.
c9075c56-cd32-4075-8ab6-fbe96859b688
Salib, R.J.
d6fde1c1-5b5e-43f7-ae1c-42cce6a0c9fc
Jain, P.K.
9efc0e1d-8a2f-44fc-9638-12f2d2cf3a75
2009
Sunkaraneni, V.S.
ad07934e-5265-45d7-ac9f-b3a5a0b08e10
Ismail-Koch, H.
c9075c56-cd32-4075-8ab6-fbe96859b688
Salib, R.J.
d6fde1c1-5b5e-43f7-ae1c-42cce6a0c9fc
Jain, P.K.
9efc0e1d-8a2f-44fc-9638-12f2d2cf3a75
Sunkaraneni, V.S., Ismail-Koch, H., Salib, R.J. and Jain, P.K.
(2009)
Guillotine tonsillectomy: a neglected technique.
Journal of Laryngology & Otology, 123 (8), .
(doi:10.1017/S002221510900485X).
Abstract
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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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: 14 Mar 2024 02:47
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Contributors
Author:
V.S. Sunkaraneni
Author:
H. Ismail-Koch
Author:
P.K. Jain
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