PMID: 9419092Jan 7, 1998Paper

Microscopic tonsillectomy: a double-blind randomized trial

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
O KujawskiW Lehmann

Abstract

To evaluate microsurgical bipolar cautery tonsillectomy (TEmic) by comparing it with traditional blunt dissection tonsillectomy (TEtrad). A double-blind prospective randomized trial with stratification in two age groups. 200 consecutive patients undergoing tonsillectomy for tonsillar hypertrophy, or recurrent or chronic tonsillitis. Duration of surgery, intraoperative bleeding, daily postoperative pain and otalgia, postoperative bleeding episodes. Duration of surgery and operative bleeding were evaluated by the anesthesiologist. The patients were instructed to record daily pain and otalgia. Final postoperative evaluation was done by a different physician, blinded to the surgical technique. Mean intraoperative bleeding was 12 ml for TEmic and 36 ml for TEtrad (P < 0.001). Mean duration of surgery was 37 minutes for TEmic and 36 minutes for TEtrad (NS). Otalgia was present in 41% of TEmic patients and 69% of TEtrad patients (p < 0.001). Daily postoperative pain was lower in the TEmic group than it was in the TEtrad group for the entire study period (10 days). Postoperative hemorrhage was present in three TEmic patients (3%) and in eight TEtrad patients (8%), a difference that did not reach significance (p > 0.1). Microsurgical bi...Continue Reading

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Citations

Apr 22, 2005·HNO·J P Windfuhr
May 22, 2002·International Journal of Pediatric Otorhinolaryngology·V V RautJ G Toner
Feb 24, 2001·The Laryngoscope·C W GrossW D Spotnitz
Nov 24, 2007·ORL; Journal for Oto-rhino-laryngology and Its Related Specialties·Matthew N AshbachSanjay R Parikh
Sep 1, 2005·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Tayfun KirazliAysegül Kedek
Feb 20, 2007·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Gerald D Barr
Jun 19, 2008·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·J P WindfuhrY S Chen
Jan 14, 2010·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Klaus StelterMartin Canis
Sep 29, 2011·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Seckin O Ulualp
Apr 7, 2009·International Journal of Pediatric Otorhinolaryngology·Jonah W MinkLinda Brodsky
May 10, 2006·ANZ Journal of Surgery·Nastasha PolitesA Simon Carney
Sep 22, 2007·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·A A J CardozoS Hargreaves
Sep 24, 2014·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·F SchrötzlmairK Stelter
Feb 3, 2009·International Journal of Pediatric Otorhinolaryngology·Kenton GanHamdy El-Hakim
Aug 30, 2000·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·J L WeiR O Gustafson
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Nov 7, 2003·The Laryngoscope·Antonio BellosoM S Timms

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