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Abstract Tonsillectomy is one of the most common surgical procedures performed worldwide. Since the first tonsil removed performed by Celsus in the first century B.C, multiple surgical techniques have been described and diverse instruments have been evolved for this purpose. There has been an evolution of various techniques to improve upon the postoperative morbidities following tonsillectomy. From tonsil scraping with blunt finger dissection without anesthesia to the use of a plasma field for dissection, there have been great strides in the development of modern tonsillectomy techniques. Described techniques for tonsillectomy include blunt dissection, guillotine excision, cryosurgery, monopolar and bipolar diathermy dissection, bipolar scissors dissection, ultrasonic scalpel tonsillectomy, laser dissection and recently introduced techniques which include laser tonsillotomy, intracapsular partial tonsillectomy, radiofrequency tonsil ablation and coblation. All these techniques have advantages and disadvantages, and debate about the optimal surgical technique continues in the literature. Differences between surgical methods are described in term of operative blood loss, operative time, and particularly postoperative morbidity. An otolaryngologist’s choice of one of these methods depend on his or her training, comfort with the technology, experience, and impressions concerning morbidity and safety. |