History and current practice of tonsillectomy

Ramzi T. Younis, Rande H. Lazar

Research output: Contribution to journalArticle

79 Scopus citations

Abstract

Objective: To review important developments in the history of adenotonsillectomy and describe current methods and results for the operation. Study Design: Review. Methods: Tonsillectomy practices since antiquity were reviewed, with emphasis on introductions of new surgical tools and procedures, anesthesia methods, and patient care practices. Past and current indications for and complications associated with tonsillectomy were also reviewed. Results: Devices used for adenotonsillectomy have included snares, forceps, guillotines, various kinds of scalpels, lasers, ultrasonic scalpels, powered microdebriders, and bipolar scissors. General anesthesia, the Crowe-Davis mouth gag, and methods for controlling bleeding have contributed greatly to success with the operation. Past and current indications for adenotonsillectomy are similar, although the relative importance of some indications has changed. The complication rate has declined, but the problems that do occur remain the same. Currently, cost-effectiveness is a principal concern. Conclusion: The instruments and procedures used for adenotonsillectomy have evolved to render it a precise operation. Today, the procedure is a safe, effective method for treating breathing obstruction, throat infections, and recurrent childhood ear disease.

Original languageEnglish (US)
Pages (from-to)3-5
Number of pages3
JournalLaryngoscope
Volume112
Issue number8
DOIs
StatePublished - Jan 1 2002

Keywords

  • Adenoidectomy
  • Complications
  • Contraindications
  • History
  • Indications
  • Tonsillectomy

ASJC Scopus subject areas

  • Otorhinolaryngology

Fingerprint Dive into the research topics of 'History and current practice of tonsillectomy'. Together they form a unique fingerprint.

  • Cite this