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The Modern Tonsillectomy UTMB Dept of Otolaryngology April 27, 2005 Murtaza Kharodawala, MD Matthew Ryan, MD
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
History ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],History
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],History
Indications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],American Academy of Otolaryngology-Head and Neck Surgery:  1995 Clinical indicators compendium , Alexandria, Virginia, 1995, American Academy of Otolaryngology-Head and Neck Surgery
Indications ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Paradise et al
[object Object],[object Object],[object Object],Paradise et al
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Innovative Techniques ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Intracapsular Tonsillectomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Koltai PJ et al: Intracapsular Partial tonsillectomy for tonsillar hypertrophy in children.  Laryngoscope  112:17-19, 2002. Koltai et al. 5 6 0 30 Total Tonsillectomy 162 1 1 0 25 Intracapsular 150 Postop Dehydration Delayed Postop Hemorrhage Immediate Postop Hemorrhage EBL(mL) Group
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Koltai et al.
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Complications of Intracapsular Tonsillectomy
Sorin A et al: Complications of microdebrider-assisted powered intracapsular tonsillectomy and adenoidectomy.  Laryngoscope  114:297-300, 2004. Sorin et al.
Intracapsular Tonsillectomy in Children Under 3 Years ,[object Object],[object Object],[object Object],[object Object],Bent et al: Ambulatory powered intracapsular tonsillectomy and adenoidectomy in children younger than 3 years.  Arch Otolaryngol Head Neck Surg  130:1197-1200, 2004 .
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Bent et al.
Harmonic Scalpel Tonsillectomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Harmonic Scalpel Tonsillectomy
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Willging et al
Laser Tonsillectomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Kothari et al
Kothari et al Kolthari P et al: A prospective double-blind randomized controlled trial comparing the suitability of KTP laser tonsillectomy with conventional dissection tonsillectomy for day case surgery.  Clin. Otolaryngol . 27:369–373, 2002.
[object Object],[object Object],[object Object],[object Object],[object Object],Kothari et al
Coblation Tonsillectomy ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],Coblation Tonsillectomy
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Chang et al
Chang et al Chang KW: Randomized controlled trial of coblation versus electrocautery tonsillectomy.  Otolaryngol Head Neck Surg  132:273-280, 2005.
Chang et al Chang KW: Randomized controlled trial of coblation versus electrocautery tonsillectomy.  Otolaryngol Head Neck Surg  132:273-280, 2005.
Chang et al Chang KW: Randomized controlled trial of coblation versus electrocautery tonsillectomy.  Otolaryngol Head Neck Surg  132:273-280, 2005.
Chang et al Chang KW: Randomized controlled trial of coblation versus electrocautery tonsillectomy.  Otolaryngol Head Neck Surg  132:273-280, 2005.
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Chang et al
Coblation Tonsillectomy ,[object Object],[object Object]
Adjuvant Therapies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Local Anesthetic ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],Local Anesthetic
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Local Anesthetic
Nordahl et al Nordahl SHG, Albrektsen G, Guttormsen AB, Pedersen IL, Breidablikk H-J. Effect of bupivacaine on pain after tonsillectomy: a randomized clinical trial.  Acta Otolaryngol  ( Stockh ) 119:369–376, 1999.
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Nordahl et al
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Local Anesthetic
Kountakis SE:  Effectiveness of Perioperative Bupivacaine Infiltration in Tonsillectomy Patients.  Am J Otolaryngol  23:76-80, 2002. Kountakis et al
[object Object],[object Object],[object Object],Kountakis et al
Intraoperative Steroids ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Intraoperative Dexamethasone
Steward et al Steward et al: Do steroids reduce morbidity of tonsillectomy?  Meta-analysis of randomized trials.  Laryngoscope  111:1712-1718, 2001.
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Steward et al
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Intraoperative Dexamethasone
Carr et al Carr MM et al: Effect of steroids on posttonsillectomy pain in adults.  Arch Otolaryngol Head Neck Surg  125:1361-1364, 1999. AM PM Codeine Acetam
[object Object],[object Object],[object Object],Carr et al
Postoperative Antibiotics ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],Postoperative Antibiotics
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Postoperative Antibiotics
Colreavy et al Colreavy MP et al: Antibiotic prophylaxis post-tonsillectomy: is it of benefit?  Int J Ped Otorhino  50:15-22, 1999.
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Postoperative Antibiotics
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],O’Reilly et al
Current Practice Patterns ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Krishna P et al: Current practice patterns in tonsillectomy and perioperative care.  Int J of Ped Otorhinolaryngology  68:779-784, 2004. Krishna et al.
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Krishna et al.
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Krishna et al.
Conclusions ,[object Object],[object Object],[object Object]
Sources ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Tonsillectomy Slides 050427

  • 1. The Modern Tonsillectomy UTMB Dept of Otolaryngology April 27, 2005 Murtaza Kharodawala, MD Matthew Ryan, MD
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  • 13. Koltai PJ et al: Intracapsular Partial tonsillectomy for tonsillar hypertrophy in children. Laryngoscope 112:17-19, 2002. Koltai et al. 5 6 0 30 Total Tonsillectomy 162 1 1 0 25 Intracapsular 150 Postop Dehydration Delayed Postop Hemorrhage Immediate Postop Hemorrhage EBL(mL) Group
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  • 16. Sorin A et al: Complications of microdebrider-assisted powered intracapsular tonsillectomy and adenoidectomy. Laryngoscope 114:297-300, 2004. Sorin et al.
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  • 24. Kothari et al Kolthari P et al: A prospective double-blind randomized controlled trial comparing the suitability of KTP laser tonsillectomy with conventional dissection tonsillectomy for day case surgery. Clin. Otolaryngol . 27:369–373, 2002.
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  • 29. Chang et al Chang KW: Randomized controlled trial of coblation versus electrocautery tonsillectomy. Otolaryngol Head Neck Surg 132:273-280, 2005.
  • 30. Chang et al Chang KW: Randomized controlled trial of coblation versus electrocautery tonsillectomy. Otolaryngol Head Neck Surg 132:273-280, 2005.
  • 31. Chang et al Chang KW: Randomized controlled trial of coblation versus electrocautery tonsillectomy. Otolaryngol Head Neck Surg 132:273-280, 2005.
  • 32. Chang et al Chang KW: Randomized controlled trial of coblation versus electrocautery tonsillectomy. Otolaryngol Head Neck Surg 132:273-280, 2005.
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  • 39. Nordahl et al Nordahl SHG, Albrektsen G, Guttormsen AB, Pedersen IL, Breidablikk H-J. Effect of bupivacaine on pain after tonsillectomy: a randomized clinical trial. Acta Otolaryngol ( Stockh ) 119:369–376, 1999.
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  • 42. Kountakis SE: Effectiveness of Perioperative Bupivacaine Infiltration in Tonsillectomy Patients. Am J Otolaryngol 23:76-80, 2002. Kountakis et al
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  • 46. Steward et al Steward et al: Do steroids reduce morbidity of tonsillectomy? Meta-analysis of randomized trials. Laryngoscope 111:1712-1718, 2001.
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  • 49. Carr et al Carr MM et al: Effect of steroids on posttonsillectomy pain in adults. Arch Otolaryngol Head Neck Surg 125:1361-1364, 1999. AM PM Codeine Acetam
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  • 54. Colreavy et al Colreavy MP et al: Antibiotic prophylaxis post-tonsillectomy: is it of benefit? Int J Ped Otorhino 50:15-22, 1999.
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  • 58. Krishna P et al: Current practice patterns in tonsillectomy and perioperative care. Int J of Ped Otorhinolaryngology 68:779-784, 2004. Krishna et al.
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