Skip to main content
×
Home

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
Hide All

VS Sunkaraneni & H Ismail-Koch are the joint first authors.

Footnotes
References
Hide All
1 Lowe D, van der Meulen J, Cromwell D, Lewsey J, Copley L, Browne J et al. Key messages from the National Prospective Tonsillectomy Audit. Laryngoscope 2007;117:717–24
2 Lowe D, van der Meulen J. National Prospective Tonsillectomy Audit. Tonsillectomy technique as a risk factor for postoperative haemorrhage. Lancet 2004;364:697702
3 Mathews J, Lancaster J, Sherman I, Sullivan GO. Guillotine tonsillectomy: a glimpse into its history and current status in the United Kingdom. J Laryngol Otol 2002;116:988–91
4 Friedberg SA. The evolution of the tonsillotome. Ann Otol Rhinol Laryngol 1914;23:293303
5 Jain PK. How we do it: Jain Tonsil ‘A’ Frame – a solution to slipping rods. Clin Otolaryngol 2005;30:266–86
6 McGuire NG. A new method of guillotine tonsillectomy with an historical review. J Laryngol Otol 1967;81:187–95
7 Roberts C, Jayaramachandran S, Raine CH. A prospective study of factors which may predispose to post-operative tonsillar fossa haemorrhage. Clin Otolaryngol 1992;17:1317
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords:

Metrics

Full text views

Total number of HTML views: 3
Total number of PDF views: 19 *
Loading metrics...

Abstract views

Total abstract views: 103 *
Loading metrics...

* Views captured on Cambridge Core between 8th March 2017 - 18th November 2017. This data will be updated every 24 hours.