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Guillotine tonsillectomy: a neglected technique

  • V S Sunkaraneni (a1), H Ismail-Koch (a2), R J Salib (a2) and P K Jain (a3)
Abstract
AbstractBackground:

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.

Copyright
Corresponding author
Address for correspondence: Mr Parmod K Jain, ENT Department, Poole Hospital NHS Foundation Trust, Poole BH15 2JB, UK. Fax: +44 (0)1202 448410 E-mail: parmod.jain@virgin.net
Footnotes
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VS Sunkaraneni & H Ismail-Koch are the joint first authors.

Footnotes
Linked references
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This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

1D Lowe , J van der Meulen , D Cromwell , J Lewsey , L Copley , J Browne Key messages from the National Prospective Tonsillectomy Audit. Laryngoscope 2007;117:717–24

4SA Friedberg . The evolution of the tonsillotome. Ann Otol Rhinol Laryngol 1914;23:293303

7C Roberts , S Jayaramachandran , CH Raine . A prospective study of factors which may predispose to post-operative tonsillar fossa haemorrhage. Clin Otolaryngol 1992;17:1317

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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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