Skip to main content
Log in

The Role of Hypertonic Saline in Monopolar Tonsillectomy in Pediatric Patients

  • Original Article
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Looking for a simple and inexpensive method to reduce patients’ pain during tonsillectomy. Bilateral tonsillectomy patients were enrolled and placed into different groups based on their admission numbers. Patients with odd numbers had electrical tonsillectomy on the right side with hypertonic saline injection into peritonsillar gap (group A) or electrical tonsillectomy on the left side without hypertonic saline injection (group B). Those with even numbers had electrical tonsillectomy on the left side with hypertonic saline injection into peritonsillar gap (group A) or electrical tonsillectomy on the right side without hypertonic saline injection (group B). Pain, operative bleeding, post-operation bleeding and operation time were evaluated. Injecting hypertonic saline into peritonsillar gap reduced pain caused by electrical tonsillectomy but did not impact operation or postoperative bleeding and operation time. While simple and economic, monopolar electrical tonsillectomy with the help of hypertonic saline injected into peritonsillar gap can effectively relieve patients from pain compared with surgeries without hypertonic saline injection.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Sayin I, Cingi C (2012) Recent medical devices for tonsillectomy. Hippokratia 16:11–16

    PubMed  PubMed Central  CAS  Google Scholar 

  2. Leinbach RF, Markwell SJ, Colliver JA, Lin SY (2003) Hot versus cold tonsillectomy: a systematic review of the literature. Otolaryn-gol Head Neck Surg 129:360–364

    Article  Google Scholar 

  3. Younis RT, Lazar RH (2002) History and current practice of tonsillectomy. Laryngoscope 112:3–5

    Article  PubMed  Google Scholar 

  4. Silveira H, Soares JS, Lima HA (2003) Tonsillectomy: cold dissection versus bipolar electrodissection. Int J Pediatr Otorhinolaryngol 67:345–351

    Article  PubMed  Google Scholar 

  5. Kirazli T, Bilgen C, Midilli R, Ogut F, Uyar M, Kedek A (2005) Bipolar electrodissection tonsillectomy in children. Eur Arch Otorhinolaryngol 262:716–718

    Article  PubMed  Google Scholar 

  6. Karatzias GT, Lachanas VA, Papouliakos SM, Sandris V-G (2005) Tonsillectomy using the thermal welding system. ORL J Otorhinolaryngol Relat Spec 67:225–229

    Article  PubMed  Google Scholar 

  7. Karatzias GT, Lachanas VA, Sandris VG (2006) Thermal welding versus bipolar tonsillectomy: a comparative study. Otolaryngol Head Neck Surg 134:975–978

    Article  PubMed  Google Scholar 

  8. Saleh HA, Cain AJ, Mountain RE (1999) Bipolar scissor tonsillectomy. Clin Otolaryngol Allied Sci 24:9–12

    Article  PubMed  CAS  Google Scholar 

  9. Pizzuto MP, Brodsky L, Du yL, Gendler J, Nauenberg E (2000) V A comparison of microbipolar cautery dissection to hot knife and cold knife cautery tonsillectomy. Int J Pediatr Otorhinolaryngol 52:239–246

    Article  PubMed  CAS  Google Scholar 

  10. Silveira H, Soares JS, Lima HA (2003) Tonsillectomy: cold dissection versus bipolar electrodissection. Int J Pediatr Otorhinolaryngol 67:345–351

    Article  PubMed  Google Scholar 

  11. Raut VV, Bhat N, Sinnathuray AR, Kinsella JB, Stevenson M, Toner JG (2002) Bipolar scissors versus cold dissection for pediatric tonsillectomy-a prospective, randomized pilot study. Int J Pediatr Otorhinolaryngol 64:9–15

    Article  PubMed  CAS  Google Scholar 

Download references

Conflict of interest

We declare that we have no financial and personal relationships with other people or organizations that can inappropriately influence our work, there is no professional or other personal interest of any nature or kind in any product, service and/or company that could be construed as influencing the position presented in, or the review of, the manuscript entitled.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jian Ma.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Ma, J., Zheng, M., Mu, JW. et al. The Role of Hypertonic Saline in Monopolar Tonsillectomy in Pediatric Patients. Indian J Otolaryngol Head Neck Surg 70, 180–183 (2018). https://doi.org/10.1007/s12070-014-0774-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-014-0774-7

Keywords

Navigation