Tonsillectomy using Bipolar Scissors / 대한이비인후과학회지

ABSTRACT

BACKGROUND AND OBJECTIVES: The tonsillectomy is one of the most common operation in otolaryngology and is performed with a variety of surgical techniques. Convincing evidence in the literature is lacking as far as the optimal method of performing this surgical procedure. So we attempted to find out preferable method of tonsillectomy and to evaluate bipolar scissors tonsillecotmy which is relatively new technique in clinical practice by comparing operation time, intraoperative blood loss, postoperative pain, and postoperative hemorrhage. MATERIALS AND METHOD: The 90 patients admitted to the ENT department for tonsillectomy between March 2002 and May 2002 were entered into this study. All tonsillectomy were performed under general anesthesia. Patients were divided into two study groups, bipolar scissors tonsillectomy and cold dissection. RESULTS: The operation time was shorter and intraoperative blood loss amount was lower in bipolar sissors tonsillectomy than cold dissection. The postoperative pain and postoperative hemorrhage statistically insignificant between the surgical method. CONCLUSION: Bipolar scissors tonsillectomy can significantly reduce the operation time and intaoperative blood loss without increasing the postoperative morbidity.