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Complications of tonsillectomy: a comparison of techniques Schmidt R; Herzog A; Cook S; O'Reilly R; Deutsch E; Reilly JArch Otolaryngol Head Neck Surg 2007[Sep]; 133 (9): 925-8OBJECTIVE: To compare the postoperative complications of intracapsular tonsillectomy using a microdebrider with traditional electrodissection tonsillectomy. DESIGN: Retrospective chart review. SETTING: Tertiary care pediatric referral center. PATIENTS: The medical records of 2944 patients undergoing tonsillectomy with or without adenoidectomy at our institution between January 1, 2002, and May 31, 2005, were reviewed. MAIN OUTCOME MEASURES: Incidence of delayed postoperative hemorrhage, return to the hospital or emergency department for pain or dehydration, and the need for revision surgery. RESULTS: There were 1731 patients in the intracapsular tonsillectomy group and 1212 in the traditional electrodissection tonsillectomy group. The incidence of delayed hemorrhage was 1.1% in the intracapsular tonsillectomy group and 3.4% in the traditional electrodissection tonsillectomy group (P < .001). For delayed hemorrhage requiring treatment in the operating room for control, the incidence was 0.5% in the intracapsular tonsillectomy group and 2.1% in the traditional electrodissection tonsillectomy group (P < .001). Treatment in the emergency department or hospital for pain or dehydration was necessary in 3.0% of the intracapsular tonsillectomy group and in 5.4% of the traditional electrodissection tonsillectomy group (P = .002). Eleven patients (0.64%) in the intracapsular tonsillectomy group required revision tonsillectomy. CONCLUSION: Intracapsular tonsillectomy has a lower incidence of postoperative hemorrhage and pain leading to hospital-based evaluation compared with traditional electrodissection tonsillectomy.|Adenoidectomy[MESH]|Child[MESH]|Child, Preschool[MESH]|Combined Modality Therapy[MESH]|Dehydration/etiology[MESH]|Electrosurgery/*methods[MESH]|Emergency Service, Hospital[MESH]|Female[MESH]|Follow-Up Studies[MESH]|Humans[MESH]|Hypertrophy/surgery[MESH]|Male[MESH]|Microsurgery/*methods[MESH]|Pain, Postoperative/etiology/surgery[MESH]|Palatine Tonsil/*pathology[MESH]|Postoperative Complications/*etiology/surgery[MESH]|Postoperative Hemorrhage/etiology/surgery[MESH]|Reoperation[MESH]|Risk Factors[MESH]|Tonsillectomy/*methods[MESH]|Tonsillitis/*surgery[MESH] |
