Skip to main content

Blunt dissection to bipolar forcep tonsillectomy- a comparision

Indian Journal of Otolaryngology and Head and Neck Surgery volume 56, pages 67–70 (2004)Cite this article

Conclusion

Bipolar diathermy forcep or scissors dissection is safe and trusted and established procedure now and have an edge over blunt dissection. If monopolar diathermy is used, high voltage current should be used for dissection with fine point and if bipolar is used, low voltage current should be used, diathermy tip should be cleaned with wet gauge piece, fossae should be packed with wet gauge only, minimum required current and only coagulation should be attempted, avoid injury to surrounding tissue resulting to minimum sloughing. Avoiding thermal injury to surrounding tissues leads to lesser post operative pain. Results depends upon the precision of technique and expertise developed over a time especially coagulating the vessel during dissection before spurt. Considering cost effectiveness, bipolar diathermy is much economical than ultrasonic and laser to provide comparable results in terms of better results, duration of surgery, anaesthesia and overall postoperative morbidity.

This is a preview of subscription content, access via your institution.

Access options

Buy single article

Instant access to the full article PDF.

43,34 €

Price includes VAT (Finland)
Tax calculation will be finalised during checkout.

References

  1. Neil G. Me Guire, A Method of Guillotine Tonsillectomy with an Historical Review. J. Laryngole Otol 1987;20:415–419.

    Google Scholar 

  2. Capper, Canter R.J., Is there agreement among general practitioners, paediatricians and Otolaryngologists about the management of children with recurrent tonsillitis, Clinical Otolaryngology, 2001; 26: 371–378.

    PubMed  Article  CAS  Google Scholar 

  3. Y. T. Pang, Paediatric Tonsillectomy: Bipolar Electrodissection and Dissection/Snare Compared, J. Laryngol otol 1995, Vol. 109, No. 733–736.

  4. Handler SD, Miller L, Richmond KH, Corso Branak C. Post tonsillectomy haemorrhage: incidence, prevention and management. Laryngoscope 1986;96:1243–1247.

    PubMed  CAS  Google Scholar 

  5. Raut V., Baht N. Kinsella J., Toner J.G., Sinnathuray A.R., Stevenson M., Bipolar Scissors versus Cold Dissection Tonsillectomy: A Prospective, Randomized, Multi -Unit Study, Laryngoscope 2001; 111:2178–82.

    CAS  Google Scholar 

  6. Siodlak Martyn Z, Gleeson Micheal J, Wengraf Carol L, Post Tonsillectomy Secondary Haemorrhage, Annals of the Royal College of Surgeons of England - 1985; 67:167–168.

    Google Scholar 

  7. Tami TA, Parker GS, Taylor RE, Post-tonsillectomy bleeding an evaluation of risk factors. Laryngoscope 1987;97:1307–1311.

    PubMed  Article  CAS  Google Scholar 

  8. Dey FL, Late haemorrhage following tonsillectomy Arc Otolaryngol.1968;87: 558.

    CAS  Google Scholar 

  9. Mann, D.G., St. George, C, Granoff, D., Scheiner, E, Imber, P. Mlynarczyk, F. A. Tonsillectomy-some like it hot. Laryngoscope 1984;94: 677–679.

    PubMed  Article  CAS  Google Scholar 

  10. Thomas A. Weimert, John W.Badyak, Harry J.Richter, Electro Dissection Tonsillectomy Arch Otolaryngol Head Neck Surg - 1990, 116; 186–188.

    Google Scholar 

  11. Tay HL. Post Operative morbidity in electro dissection tonsillectomy. J Laryngol Otol.1995;l09:209–211.

    Google Scholar 

  12. Carmody D, Vamadenan T, Cooper SM. Post tonsillectomy haemorrhage. J. Laryngol Otol.1982;96:635–638.

    PubMed  Article  CAS  Google Scholar 

  13. Sood S., Strachan D.R., Bipolar scissors Tonsillectomy (letter ) Clinical, Otolaryngol, 1999; 24, 465.

    CAS  Google Scholar 

  14. Fiona B. Mac Gregor, David M. Albert, Abir K. Bhattacharya, Post Operative Morbidity following paediatric Tonsillectomy; a comparison of bipolar diathermy dissection and Blunt dissection, International Journal of paediatric Otorhinolaryngology 1995,31:1–6.

    Article  Google Scholar 

  15. Mario Andrea, Microsurgical Bipolar Cautery Tonsillectomy, Laryngoscope 1993, 103: 1177–1180.

    PubMed  Article  CAS  Google Scholar 

  16. H. A. Saleh, A. J. Cain & R. E. Mountain, Bipolar Scissor Tonsillectomy, Clinical Otolaryngology 1999; 24: 9–12.

    PubMed  Article  CAS  Google Scholar 

  17. Serge A. Martinez, Daniel P. Akin, Laser Tonsillectomy and Adenoidectomy, Otolaryngologic Clinics of North America- 1987;20, 2:371–376.

    PubMed  CAS  Google Scholar 

  18. Linden, B.E., Gross C. W., Long T.E., Lazar, R.H.Morbidity in pediatric tonsillectomy, Laryngoscope 1990; 100: 120–124.

    PubMed  Article  CAS  Google Scholar 

  19. Oas R.E., Bartles J.P., KTP-532 laser tonsillectomy: A comparision with standard technique, Laryngoscope 1990; 100: 385–388.

    PubMed  Article  Google Scholar 

  20. A. Akkielah, A. Kalan, G. S. Kenyon, Diathermy Tonsillectomy: Comparisons of morbidity following bipolar and monopolar micro dissection needle excision, Journal Laryngol Otol,1997;l11:735–738.

    Google Scholar 

Download references

Author information

Affiliations

  1. Indian Institute Of Ear Diseases, E - 982,C.R. Park, 110019, New Delhi

    M. K. Taneja

Authors
  1. M. K. Taneja
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Taneja, M.K. Blunt dissection to bipolar forcep tonsillectomy- a comparision. Indian J Otolaryngol Head Neck Surg 56, 67–70 (2004). https://doi.org/10.1007/BF02968782

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02968782

Keywords

  • Post Operative Pain
  • Blunt Dissection
  • Secondary Haemorrhage
  • Chronic Tonsillitis
  • Bipolar Diathermy