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A cold-steel dissection tonsillectomy protocol that consistently produces few complications in paediatric tonsillectomy: A review of 953 patients
  • Yohanna Takwoingi,
  • Shiraz Syed,
  • Oghogho Eloghosa Braimah
Yohanna Takwoingi
Sandwell and West Birmingham Hospitals NHS Trust

Corresponding Author:[email protected]

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Shiraz Syed
Sandwell and West Birmingham Hospitals NHS Trust
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Oghogho Eloghosa Braimah
Sandwell and West Birmingham Hospitals NHS Trust
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Abstract

Key points: 1. Tonsillectomy is associated with risks, including primary and secondary haemorrhage, frequently requiring readmissions and methods that minimise these risks should be advocated. 2. The current analysis includes a data set of 953 children who underwent tonsillectomy using cold-steel dissection technique   3.  Nine patients (1%) were readmitted, one for infection and 8 (0.8%) for haemorrhage. One (0.1%) patient suffered primary haemorrhage and required conservative management only. 4. The commonest indication for surgery was recurrent acute tonsillitis and all the patients with post tonsillectomy haemorrhage were from this group. Obesity and obstructive sleep apnoea did not adversely affect outcome. 5. None of the patients in this study population needed reoperation to control bleeding. Cold steel dissection tonsillectomy, combined with a strict protocol produced very few complications in these series.
Submitted to Clinical Otolaryngology
23 Jul 2024Review(s) Completed, Editorial Evaluation Pending
10 Aug 2024Editorial Decision: Revise Minor
16 Aug 20241st Revision Received
22 Aug 2024Submission Checks Completed
22 Aug 2024Assigned to Editor
31 Aug 2024Reviewer(s) Assigned
03 Sep 2024Review(s) Completed, Editorial Evaluation Pending
09 Sep 2024Editorial Decision: Revise Minor
10 Sep 20242nd Revision Received
13 Sep 2024Submission Checks Completed
13 Sep 2024Assigned to Editor
17 Sep 2024Reviewer(s) Assigned
09 Oct 2024Review(s) Completed, Editorial Evaluation Pending
13 Oct 2024Editorial Decision: Accept