Microdebrider‐assisted intracapsular Tonsillectomy in adults with chronic or recurrent tonsillitis

Abstract

1b.

Comparison of two surgical suture techniques in uvulopalatopharyngoplasty and expansion sphincter pharyngoplasty

“…A haemorrhage requiring surgical intervention under general anaesthesia according to a grade C after Sarny and Stammberger was observed in three patients [13]. This is in line with previous reports [12]. Suture approximation of the anterior and posterior tonsillar pillars was reported to protect from postoperative haemorrhage.…”

Coblation® intracapsular tonsillectomy (tonsillotomy) in children: A prospective study of 500 consecutive cases with long‐term follow‐up

“…This has also been corroborated by Bender et al who also found microdebrider‐assisted IT was associated with lower postoperative haemorrhage rates and reduced analgesic requirements compared to traditional ET methods. However, they also reported their microdebrider‐assisted IT method was more time consuming and almost half of their patients had residual tonsil tissue …”

“…However, they also reported their microdebrider-assisted IT method was more time consuming and almost half of their patients had residual tonsil tissue. 11 In 2014, Duarte and colleagues directly compared children who underwent Coblation â IT and Coblation â ET. They found that ET was associated with a significant increased risk of bleeding compared to IT.…”

Tonsillotomy versus tonsillectomy in adults suffering from tonsil-related afflictions: a systematic review

“…Primary indications for surgery were tonsillitis in five studies [4,10,[12][13][14], obstructive symptoms with or without tonsillitis in five studies [4,[7][8][9]12], obstructive symptoms or recurrent tonsillitis in two studies [4,11], and halithosis, tonsilloliths and dysphagia in one study [4].…”

“…The surgical methods used for tonsillotomy were RFITT [7][8][9]11,14], coblation tonsillotomy [10,11], CO 2 -laser tonsillotomy [4], power-assisted tonsillotomy [12] and scissorassisted dissection of the tonsil part medial to the palatine arches followed by the removal of remnants with a microdebrider [13] ( Table 1). The surgical method for tonsillectomy was standard cold knife dissection in all studies except for the study by Arya et al [10], in which coblation was used for both tonsillotomy and tonsillectomy, and for the studies by Johnston et al and Hall et al, which used electrosurgery [11,12].…”