Ramzi T Younis1, Rande H Lazar. 1. Department of Otolaryngology (r.t.y.), University of Miami, Miami, Florida 33136, USA. ryounis@surgery.umsmed.edu
Abstract
OBJECTIVE: To review important developments in the history of adenotonsillectomy and describe current methods and results for the operation. STUDY DESIGN: Review. METHODS: Tonsillectomy practices since antiquity were reviewed, with emphasis on introductions of new surgical tools and procedures, anesthesia methods, and patient care practices. Past and current indications for and complications associated with tonsillectomy were also reviewed. RESULTS: Devices used for adenotonsillectomy have included snares, forceps, guillotines, various kinds of scalpels, lasers, ultrasonic scalpels, powered microdebriders, and bipolar scissors. General anesthesia, the Crowe-Davis mouth gag, and methods for controlling bleeding have contributed greatly to success with the operation. Past and current indications for adenotonsillectomy are similar, although the relative importance of some indications has changed. The complication rate has declined, but the problems that do occur remain the same. Currently, cost-effectiveness is a principal concern. CONCLUSION: The instruments and procedures used for adenotonsillectomy have evolved to render it a precise operation. Today, the procedure is a safe, effective method for treating breathing obstruction, throat infections, and recurrent childhood ear disease.
OBJECTIVE: To review important developments in the history of adenotonsillectomy and describe current methods and results for the operation. STUDY DESIGN: Review. METHODS: Tonsillectomy practices since antiquity were reviewed, with emphasis on introductions of new surgical tools and procedures, anesthesia methods, and patient care practices. Past and current indications for and complications associated with tonsillectomy were also reviewed. RESULTS: Devices used for adenotonsillectomy have included snares, forceps, guillotines, various kinds of scalpels, lasers, ultrasonic scalpels, powered microdebriders, and bipolar scissors. General anesthesia, the Crowe-Davis mouth gag, and methods for controlling bleeding have contributed greatly to success with the operation. Past and current indications for adenotonsillectomy are similar, although the relative importance of some indications has changed. The complication rate has declined, but the problems that do occur remain the same. Currently, cost-effectiveness is a principal concern. CONCLUSION: The instruments and procedures used for adenotonsillectomy have evolved to render it a precise operation. Today, the procedure is a safe, effective method for treating breathing obstruction, throat infections, and recurrent childhood ear disease.
Authors: Klaus Stelter; Stephan Ihrler; Vanessa Siedek; Martin Patscheider; Thomas Braun; Georg Ledderose Journal: Eur Arch Otorhinolaryngol Date: 2011-07-27 Impact factor: 2.503
Authors: A Swidsinski; O Göktas; C Bessler; V Loening-Baucke; L P Hale; H Andree; M Weizenegger; M Hölzl; H Scherer; H Lochs Journal: J Clin Pathol Date: 2006-05-12 Impact factor: 3.411