This document reviews various methods of tonsillectomy and adjunctive therapies. It examines cold knife dissection, electrocautery, coblation, harmonic scalpel, thermal welding, and intracapsular techniques. It assesses the role of perioperative steroids, hemostatic agents, antibiotics, and pain control methods. While methods vary in outcomes like pain and bleeding risks, the document concludes cold knife has the lowest pain but bipolar scissors among intracapsular methods may be best when considering time and cost. Steroids, antibiotics, and NSAIDs are generally supported for adjunctive use.

3. Doctor, I want the newest, best and most pain-free tonsillectomy for my child or I will go somewhere else…

24. Coblation Tonsillectomy Demonstration

27. Coblation Physician Contacts Stoker et al, Otolaryngol Head Neck Surg 204; 130: 666-75

28. Coblation-Post Op Pain Stoker et al, Otolaryngol Head Neck Surg 204; 130: 666-75

43. Coblation Intracapsular Tonsillotomy Demonstration

49. Doctor, I want the newest, best and most pain-free tonsillectomy for my child or I will go somewhere else…

53. Emesis Reduction Steward et al, Laryngoscope 111: October 2001

54. Return of Diet Steward et al, Laryngoscope 111: October 2001

67. Overview Lowest? Lowest? Lower Lower Lower Highest EBL Mid High Lower Lower Thermal Welding (Ligasure) High High Low Low Lowest Cost Mid-long Lower Lower Harmonic Scalpel Mid-long Unknown-HIGH? Lower Coblation Mid Mid-high Mid Bipolar Lowest Mid-high Highest Monopolar Mid-long Lowest Lowest Cold Knife OR Time PTH Pain

73. Questions