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العنوان
Modern tonsillectomy /
الناشر
Ahmed Salama Ahmed,
المؤلف
Ahmed, Ahmed Salama.
هيئة الاعداد
باحث / أحمد سلامة أحمد عبدالمجيد
مشرف / محمـد رشـاد غنيـم
مشرف / الشعــراوى كمــــال
مناقش / أحمد على عبدالله الدجوى
مناقش / محمود عبدالغفار اسماعيل
الموضوع
Tonsillectomy ‎
تاريخ النشر
2007.
عدد الصفحات
149 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الحنجرة
تاريخ الإجازة
1/1/2008
مكان الإجازة
جامعة المنصورة - كلية الطب - قسم الأنف والأذن والحنجرة
الفهرس
Only 14 pages are availabe for public view

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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.‎