KeypointsSurgeon‐controlled study of 200 cold/cold and 200 hot/hot tonsillectomy cases in one institution.Hot/hot resulted in higher overall rates of early and late post‐tonsillectomy haemorrhage and return to theatre when compared to cold/cold methods.Bipolar diathermy tonsillectomy resulted in a statistically significant higher rate of secondary post‐tonsillectomy haemorrhage than cold‐steel of nearly 3 times.Trainee surgeons performed better in bipolar haemostasis than cold‐steel dissection with regard to postoperative morbidity.With continued use of cold‐steel tonsillectomy methods in both junior and senior surgeons, it is hoped that the rates of PTH and RTT will continue to improve.INTRODUCTIONTonsillectomy represents 40% of the procedures performed in otolaryngology departments; equivalent to 45 000 tonsillectomies in the UK each year.The tonsillectomy procedure consists of 2 phases: tonsil excision and haemostasis, which can be classified as “hot” or “cold.”Hot Excision: Bipolar diathermy involves high‐frequency electric current being applied directly to the tonsil tissue from forceps.Cold Excision: Steel dissection involves an incision being made in the mucosa with scissors and mobilisation of tonsil using dissecting forceps.Hot Haemostasis: Diathermy heat coagulates vessels within tissue.Cold Haemostasis: Swabs control initial then ligatures control residual bleeding.A combination of techniques can be employed to create an entirely hot, cold or combined approach. Bipolar diathermy is used
Clinical Otolaryngology – Wiley
Published: Jan 1, 2018
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.
All for just $49/month
Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.
Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.
It’s easy to organize your research with our built-in tools.
Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.
All the latest content is available, no embargo periods.
“Hi guys, I cannot tell you how much I love this resource. Incredible. I really believe you've hit the nail on the head with this site in regards to solving the research-purchase issue.”Daniel C.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud
“I must say, @deepdyve is a fabulous solution to the independent researcher's problem of #access to #information.”@deepthiw
“My last article couldn't be possible without the platform @deepdyve that makes journal papers cheaper.”@JoseServera