Résumé
Dissection and diathermy are commonly used techniques of Tonsillectomy with quite satisfactory results with either of the two, for which a number of studies have been made many a times all over the world. However, at our end, another analysis of the results of these techniques was done to find out a procedure which has least preoperative and postoperative morbidity. A study towards that end was conducted at the departments of Ear, Nose and throat and Head Neck Surgery, Jinnah post Graduate Centre [from June 1998 to June 2000] and continuation of the study at Baqai Medical University Hospital [from June 2000 to July 2006] Patients of ages between 13 years and 50 years were selected from the outpatient departments of both setups in a randomized fashion. Sample size was 200 patients. For uniformity sake, one tonsil was dissected followed by ligature homeostasis and the other tonsil of the same patients was removed by diathermy. It was found that the difference in results between the two techniques was statistically insignificant [P<0.001] in terms of intra operative blood loss and time taken for surgery. Regarding postoperative hemorrhage and post-operative pain, the difference between the two was statistically significant [P=0,234] in favour of dissection method. Hence it is concluded that tonsillectomy with diathermy was a better technique compared to dissection method in terms of intra operative blood loss and time taken for surgery. However it is associated with painful recovery and significantly higher risk of postoperative hemorrhage and therefore can have morbidity higher than the dissection method of tonsillectomy