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Results of Tonsillectomy Using Harmonic Scalpel  

Min, Hyun-Jin (Department of Otolaryngology and Head & Neck Surgery, Yonsei University College of Medicine)
Choi, Eun-Chang (Department of Otolaryngology and Head & Neck Surgery, Yonsei University College of Medicine)
Kim, Se-Heon (Department of Otolaryngology and Head & Neck Surgery, Yonsei University College of Medicine)
Publication Information
Korean Journal of Head & Neck Oncology / v.24, no.2, 2008 , pp. 179-183 More about this Journal
Abstract
Objective：To evaluate efficacy and postoperative morbidity in tonsillectomy using the harmonic scalpel vs conventional electrocautery. Materials and Methods：1) We compared intra-operative bleeding and operation time and analyzed the degree of pain, oral feeding and the ability to return to normal activities from the questionnaire. 2) Animal study：Using rats, we made each linear wound with harmonic scalpel or electrocautery, then compare the width of thermal injury area with trichrome stain. Result：Harmonic scalpel tonsillectomy had significant advantages over electrocautery tonsillectomy in terms of post operative pain, oral diet tolerance and the time of return to normal life. In addition, it increased patients’ overall satisfaction with the surgery. In animal study, it was found that the thermal injury was less severe in the wound caused by harmonic scalpel than by electrocautery. Conclusion：Harmonic scalpel tonsillectomy decreases the thermal injury of the adjacent tissue, thus it has advantages over electrocautery in post tonsillectomy morbidity.
Keywords
Harmonic scalpel; Tonsillectomy; Electrocautery;
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1 Tan AK, Hsu PP, Eng SP, Ng YH, Lu PK, Tan SM, et al. Coblation vs electrocautery tonsillectomy: Postoperative recovery in adults. Otolaryngol Head Neck Surg. 2006; 135(5):699-703   DOI   ScienceOn
2 Krishna P, Lee D. Post-tonsillectomy bleeding: a meta-analysis. Laryngoscope. 2001;111(8):1358-1361   DOI   ScienceOn
3 Liboon J, Funkhouser W, Terris DJ. A comparison of mucosal incisions made by scalpel, $CO_2$ laser, electrocautery, and constant- voltage electrocautery. Otolaryngol Head Neck Surg. 1997; 116(3):379-385   DOI   ScienceOn
4 Dutta NN, Bordoloi BM. Tonsillectomy Using Harmonic Scalpel. Indian Journal of Otolaryngology and Head and Neck Surgery. 2002;54(1):74-76
5 Morqenstein SA, Jacobs HK, Brusca PA, Consiqlio AR. A comparison of tonsillectomy with the harmonic scalpel versus electrocautery. Otolaryngol Head Neck Surg. 2002;127(4):333-338   DOI   ScienceOn
6 Schmidt R, Herzog A, Cook S. O'Reilly R, Deutsch E, Reilly J. Complications of Tonsillectomy A Comparison of Techniques. Arch Otolaryngol Head Neck Surg. 2007;133(9):925-928   DOI   ScienceOn
7 Alvin Kah, MBChB, MRCS. Coblation vs electrocautery tonsillectomy: Postoperative recovery in adults. Otolaryngol Head Neck Surg. 2006;135(5):699-703   DOI   ScienceOn
8 Vaiman M, Gavrieli H. Complex evaluation of pain after tonsillectomy. Acta Otolaryngology. 2007;129(9):957-965
9 Brian J Wiatrak, J Paul Willging. Harmonic Scalpel for Tonsillectomy. Laryngoscope. 2002;112(8):14-16
10 Metternich FU, Sagowski C, Wenzel S, Jakel K. Tonsillectomywith the ultrasound activated scalpel: initial results of technique with Ultracision Harmonic Scalpel. HNO. 2001;49:465-470   DOI
11 Akural EI, Koivunen PT, Teppo H, Alahuhta SM, Lopponen HJ. Post-tonsillectomy pain: a prospective, randomized and doubleblinded study to compare an ultrasonically activated scalpel technique with the blunt dissection technique. Anaesthesia. 2001; 56(11):1045-1050   DOI   ScienceOn
12 Walker RA, Syed ZA. Harmonic scalpel tonsillectomy versus electrocautery tonsillectomy: a comparative pilot study. Otolaryngol Head Neck Surg. 2001;125(5):449-455   DOI