Abstract THIS PAPER will describe the rationale, instrument, and technique of a cryosurgicallyproduced tonsillectomy in dogs. Rationale For many years excisional tonsillectomy has proved itself to be a very successful procedure in the vast majority of instances. Its object, the removal of the diseased structures, is achieved at a very low mortality rate, and healing results in good function. Nevertheless, even its most skillful practitioners and enthusiastic supporters acknowledge that it is by no means an ideal, carefree operation. For one thing, they caution that the threat of hemorrhage is ever present. This may occur during excision, because of the difficulty of securing certain deeply-placed vessels, or in the immediate postoperative period when ligatures can slip off. Brisk bleeding can also appear even days later when the slough that forms in the tonsillar bed separates.Although these complications can usually be prevented by meticulous hemostasis during surgery or by local tamponade References 1. Haase, F., and Noguera, J. T.: Hemostases in Tonsillectomy by Electrocautery , Arch Otolaryng 75:125-126 ( (Feb) ) 1962.Crossref 2. Johnson, F.: Electrocautery in Tonsil and Adenoid Surgery , Arch Otolaryng 75:127-129 ( (Feb) ) 1962.Crossref 3. Nievert, H.: "Studies of Prothrombin and Vitamin K," in Yearbook of Eye, Ear, Nose and Throat , L. Bothman, et al, ed., Chicago: Yearbook Pub, Inc., 1946. 4. Ward, A. T., Jr.: Technique to Prevent Bleeding Following Tonsillectomy and Adenoidectomy Laryngoscope 71:660-667 ( (June) ) 1961.Crossref 5. Smith, J. P.: Alleviation of Post-Tonsillectomy Pain and Infection , Laryngoscope 73:461-465 ( (April) ) 1963.Crossref 6. Hass, G. M., and Taylor, C. B.: Quantitative Hypothermal Method for Production of Local Injury of Tissue , Arch Path 45:563-580 ( (May) ) 1948.
Archives of Otolaryngology – American Medical Association
Published: Apr 1, 1965