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KMID : 0361020000430070765
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Korean Journal of Otolaryngology - Head and Neck Surgery
2000 Volume.43 No. 7 p.765 ~ p.768
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Microscopic Partial Tonsillectomy
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Choi Jong-Ouck
Kang Hee-Joon
Kim Jeong-Joon
Park Ji-Hoon
Jung Kwang-Yoon
Chu Hyung-Ro
Choi Geon
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Abstract
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Background and Objectives : Conventional tonsillectomy with the naked eye has posed in obtaining a good
surgical field and in minimizing damage to the adjacent tissue. Tonsillectomy using an operating
microscope offers outstanding illumination and visualization of the surgical field, thereby reducing the
incidence of complications associated with tonsillectomy. The objective of this study was to compare the
surgical methods of the conventional and the microscopic tonsillectomies, and to evaluate the usefulness
and effectiveness of the microscopic tonsillectomy.
Materials and Methods : Two hundred children between the ages of five and ten who received
tonsillectomy between June 1995 and August 1998 at Korea University Hospital were divide into two groups ; one group underwent groups : one group underwent tonsillectomy using an operating microscope (Group 1, n=100) and the other group underwent tonsillectomy using the conventional dissection and snare technique (Group 2, n=100). Duration of surgery, post-operative healing period, amount of intra and post-operative hemorrhage, post operative pain score,
and the incidence of post-operative cicatrical pharyngeal stenosis were compared between the two groups.
Results : There was no statistically significant difference in operating time and post-operative healing
period between the two groups, but cicatrical pharyngeal stenosis due to post-operative scarring was more
common in the group that underwent conventional tonsillectomy. The amount of hemorrhage both intra
and post-operatively, and post-operative pain was significantly decrease in the microscopic tonsillectomy
group.
Conclusion : The widespread use of operating microscope in otolaryngological surgeries allows this
technique to be applied to tonsillectomy with few problems. This technique affords decreased
intra-operative bleeding, less post-operative complications, and decreased post-operative pain compared
with conventional techinques. We believe that microscopic tonsillectomy is a safe, elegant and effective
procedure that represents a new concept in tonsil surgery.
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KEYWORD
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Microscopic partial tonsillectomy, Conventional tonsillectomy, KTP-532 laser
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