Hostname: page-component-8448b6f56d-tj2md Total loading time: 0 Render date: 2024-04-23T13:16:16.773Z Has data issue: false hasContentIssue false

Post-tonsillectomy pain with selective diathermy haemostasis

Published online by Cambridge University Press:  29 June 2007

H. L. Tay*
Affiliation:
Department of Otolaryngology, Ninewells Hospital, Dundee, UK.
*
Address for correspondence: H. L. Tay, F.R.C.S., Department of Otolaryngology, Ninewells Hospital, Dundee DD1 9SY. Fax: 01382 632816

Abstract

A prospective randomized study was carried out to assess the post-tonsillectomy morbidity of the selective diathermy technique as opposed to the ligation technique. One hundred and five patients had one tonsillar fossa haemostasis secured by unipolar diathermy and the opposite side by ligation technique. There was significantly less pharyngeal pain on the diathermy side in the first post-operative day. However, there was no significant difference between the two sides, both in pharyngeal discomfort and otalgia for the rest of the post-operative period. There was no difference in the incidence of haemorrhage between the two techniques.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1996

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Carmody, D., Vamadevan, T., Cooper, S. M. (1982) Posttonsillectomy haemorrhage. Journal of Laryngology and Otology 96: 635638.CrossRefGoogle Scholar
Choy, A. T. K., Su, A. P. (1982) Bipolar diathermy or ligation for haemostasis in tonsillectomy? A prospective study on post-operative pain. Journal of Laryngology and Otology 106: 2122.CrossRefGoogle Scholar
Fenton, J. E., O'Dwyer, T. P. (1995) Adult day case tonsillectomy: a safe and viable option. Clinical Otolaryngology 19: 470472.CrossRefGoogle Scholar
Murty, G. E., Watson, M. G. (1990) Diathermy haemostasis at tonsillectomy: current practice—a survey of UK otolaryngologists. Journal of Laryngology and Otology 104: 549552.CrossRefGoogle Scholar
Phillipps, J. J., Thornton, A. R. D. (1989) Tonsillectomy haemostasis: diathermy or ligation. Clinical Otolaryngology 14: 419424.CrossRefGoogle ScholarPubMed
Salam, M. A., Cable, H. R., (1992) Post-tonsillectomy pain with diathermy and ligation techniques. A prospective randomized study in children and adults. Clinical Otolaryngology 17: 517519.CrossRefGoogle ScholarPubMed
Siodlak, M. T., Gleeson, M. J., Wengraf, C. L. (1985) Posttonsillectomy secondary haemorrhage. Annals of the Royal College of Surgeons 67: 167168.Google ScholarPubMed
Tay, H. L. (1995) Post-operative morbidity in electrodissection tonsillectomy. Journal of Laryngology and Otology 109: 209211.CrossRefGoogle ScholarPubMed
Watson, M. G., Dawes, P. J. D., Samuel, P. R., Marshall, H. R.Rayappa, C., Hill, J., Meikle, D., Murty, G. E., Deans, J. A. J., Telios, G., Alden, C., Birchall, J. P., Pritchard, A. J. N., Livesey, J., Appleton, D. (1993) A study of haemostasis following tonsillectomy comparing ligatures with diathermy. Journal of Laryngology and Otology 107: 711715.CrossRefGoogle ScholarPubMed