Related Experiment Video
Updated: Jun 29, 2026
A Technique for Subcutaneous Abdominal Adipose Tissue Biopsy via a Non-diathermy Method
Published on: September 30, 2017
Effect of diathermy on pain and healing in tonsillectomy, compared with other methods of haemostasis: a randomised
C H Hahn1, J A Rungby, T Overgaard
1Department of Otorhinolaryngology, University of Copenhagen, Gentofte Hospital, Copenhagen, Denmark. hojde@c.dk
Objective:
To compare three methods of haemostasis used for 'cold steel' tonsillectomy, in terms of pain scores and morbidity.
Method And Material:
Prospective, randomised, single-blinded, controlled clinical study. Three haemostasis methods were compared: compression of the tonsillar fossae with gauze packs; bipolar diathermy; and local anaesthesia then pack compression. The outcome measures were pain scores (derived from a visual analogue scale), peri-operative bleeding, and post-operative episodes of blood-stained saliva, consultation rate, tonsillar bed healing and days before return to regular diet. One hundred and five patients were included.
Results:
Peri-operative bleeding was significantly reduced in the local anaesthesia group compared with the other two groups. Delayed post-operative tonsillar bed healing was noted in the diathermy group. No other significant differences were found between the three haemostasis groups, for any other outcome measures. The presence of blood-stained saliva was associated with higher pain scores.
Conclusion:
Diathermy and compression were associated with similar post-tonsillectomy morbidity.
Related Concept Videos
01:26Tonsillitis II: Management
01:23Chronic Pharyngitis
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...