Featured Research

from universities, journals, and other organizations

Certain Tonsil Removal Technique Associated With Reduced Postoperative Pain, Bleeding

Date:
September 18, 2007
Source:
JAMA and Archives Journals
Summary:
Patients who have a tonsillectomy using an "intracapsular" technique -- which removes at least 90 percent of tonsil tissue, but spares the tonsil capsule -- appear to have less postoperative heavy bleeding and pain compared with those who undergo traditional tonsil removal surgery, according to a new article.

Patients who have a tonsillectomy using an "intracapsular" technique--which removes at least 90 percent of tonsil tissue, but spares the tonsil capsule--appear to have less postoperative heavy bleeding and pain compared with those who undergo traditional tonsil removal surgery, according to a report in the September issue of Archives of Otolaryngology--Head & Neck Surgery.

Tonsillectomy (removal of the tonsils) with or without removal of the adenoids (tissue at the back of the throat) is one of the most commonly performed surgeries in the United States, according to background information in the article. "The technique for performing tonsillectomy, dissection of all tonsillar tissue free of the underlying pharyngeal constrictor muscle, has not changed significantly in more than 60 years," the authors write.

"The most common serious complication of tonsillectomy is delayed hemorrhage [severe bleeding], which occurs in 2 percent to 4 percent of all patients. In addition, an expected sequela [consequence] of the procedure is pain, which typically lasts from seven to 10 days and can be moderate to severe in intensity."

Richard Schmidt, M.D., and colleagues at the Alfred I. duPont Hospital for Children, Wilmington, Del., analyzed the medical records of 2,944 patients who underwent tonsillectomy with or without adenoidectomy between 2002 and 2005. For 1,731 patients, surgeons used a newer technique known as intracapsular tonsillectomy, which involves using an instrument known as a microdebrider to remove 90 percent of the tonsil tissue and preserving a layer of tonsil (the capsule) over the throat muscles. A total of 1,212 underwent traditional tonsillectomy, in which all tonsil tissue is cut and removed.

Among those in the traditional tonsillectomy group, 3.4 percent had delayed (more than 24 hours after surgery) hemorrhage and 2.1 percent required treatment in the operating room for bleeding, compared with 1.1 percent and 0.5 percent among those in the intracapsular tonsillectomy group. Three percent of those undergoing intracapsular tonsillectomy and 5.4 percent of those undergoing traditional tonsillectomy required emergency room treatment for pain or dehydration, which often occurs after tonsil surgery when pain restricts fluid intake. Eleven patients (0.64 percent) who had intracapsular tonsillectomies and none of those who had traditional tonsillectomies needed revision tonsillectomies.

"The ideal tonsillectomy would have minimal or no risks and be completely effective," the authors write. "Although the risks for intracapsular tonsillectomy are lower than those for traditional tonsillectomy, the procedure is not always effective. Eleven patients required revision tonsillectomy in the intracapsular tonsillectomy group compared with none in the traditional tonsillectomy group. However, an additional surgical procedure (including control of hemorrhage in the operating room) may be more likely with traditional tonsillectomy than with intracapsular tonsillectomy."

Reference: Arch Otolaryngol Head Neck Surg. 2007;133(9):925-928.


Story Source:

The above story is based on materials provided by JAMA and Archives Journals. Note: Materials may be edited for content and length.


Cite This Page:

JAMA and Archives Journals. "Certain Tonsil Removal Technique Associated With Reduced Postoperative Pain, Bleeding." ScienceDaily. ScienceDaily, 18 September 2007. <www.sciencedaily.com/releases/2007/09/070917173130.htm>.
JAMA and Archives Journals. (2007, September 18). Certain Tonsil Removal Technique Associated With Reduced Postoperative Pain, Bleeding. ScienceDaily. Retrieved July 25, 2014 from www.sciencedaily.com/releases/2007/09/070917173130.htm
JAMA and Archives Journals. "Certain Tonsil Removal Technique Associated With Reduced Postoperative Pain, Bleeding." ScienceDaily. www.sciencedaily.com/releases/2007/09/070917173130.htm (accessed July 25, 2014).

Share This




More Health & Medicine News

Friday, July 25, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

New Painkiller Designed To Discourage Abuse: Will It Work?

New Painkiller Designed To Discourage Abuse: Will It Work?

Newsy (July 24, 2014) The FDA approved Targiniq ER on Wednesday, a painkiller designed to keep users from abusing it. Like any new medication, however, it has doubters. Video provided by Newsy
Powered by NewsLook.com
Doctor At Forefront Of Fighting Ebola Outbreak Gets Ebola

Doctor At Forefront Of Fighting Ebola Outbreak Gets Ebola

Newsy (July 24, 2014) Sheik Umar Khan has treated many of the people infected in the Ebola outbreak, and now he's become one of them. Video provided by Newsy
Powered by NewsLook.com
Condemned Man's US Execution Takes Nearly Two Hours

Condemned Man's US Execution Takes Nearly Two Hours

AFP (July 24, 2014) America's death penalty debate raged Thursday after it took nearly two hours for Arizona to execute a prisoner who lost a Supreme Court battle challenging the experimental lethal drug cocktail. Duration: 00:55 Video provided by AFP
Powered by NewsLook.com
Can Watching TV Make You Feel Like A Failure?

Can Watching TV Make You Feel Like A Failure?

Newsy (July 24, 2014) A study by German researchers claims watching TV while you're stressed out can make you feel guilty and like a failure. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

    Health News

      Environment News

        Technology News



          Save/Print:
          Share:

          Free Subscriptions


          Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

          Get Social & Mobile


          Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

          Have Feedback?


          Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
          Mobile: iPhone Android Web
          Follow: Facebook Twitter Google+
          Subscribe: RSS Feeds Email Newsletters
          Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins