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Int J Otolaryngol. 2017;2017:8430907. doi: 10.1155/2017/8430907. Epub 2017 Aug 08.

Does Microscope Assistance in Cold Steel Tonsillectomy Reduce the Risk of Postoperative Hemorrhage? Results of a Prospective Cohort Study.

International journal of otolaryngology

Thomas Wilhelm, Jan Wittlinger, Robert Georgiew, Christian Güldner, Stephan Hoch, Afshin Teymoortash, Thomas Günzel, Petar Stankovic

Affiliations

  1. Department Otolaryngology, Head/Neck & Facial Plastic Surgery, Sana Kliniken Leipziger Land, Borna, Germany.
  2. Department Otolaryngology, Head and Neck Surgery, Philipps University of Marburg, Marburg, Germany.
  3. Department Otolaryngology, Head and Neck Surgery, Borromäus Hospital Leer, Leer, Germany.

PMID: 28932244 PMCID: PMC5591894 DOI: 10.1155/2017/8430907

Abstract

BACKGROUND: Posttonsillectomy hemorrhage (PTH) is the most feared complication. Dissection near the tonsillar capsule under microscopic view (TE

METHODS: In this study, patients were evaluated with respect to the need for surgical control (R/N: return/no return to theater (RTT): the day of surgery [0] or thereafter [1]). The findings at resection site and pain were measured.

RESULTS: 869 patients were included (183 TE

CONCLUSION: Microscope assistance in tonsillectomy did not statistically have an influence on the PTH even though there was a trend towards lower PTH rate in the TE

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