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Two Techniques of Tonsillectomy Performed in Identical Twins: A Case Report Publisher



Bagherihagh A1 ; Sadr Hosseini SM2
Authors
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Authors Affiliations
  1. 1. Department of Otorhinolaryngology, Baqiyatallah University of Medical Sciences, Tehran, Iran
  2. 2. Department of Otorhinolaryngology, Tehran University of Medical Sciences, Tehran, Iran

Source: Iranian Journal of Otorhinolaryngology Published:2017


Abstract

Introduction: Cold dissection (CD) and bipolar cautery dissection (BCD) techniques are two common surgical tonsillectomy procedures used in the clinic. Obstruction has become more prevalent as the major surgical indication and is most prominently observed in younger children. Case Report: In this report, we aimed to explain the abovementioned surgical techniques in detail and compare the results in identical twins (monozygote twins). Using low energy electrocautery, irrigating the operation site continuously during cauterization, avoiding unnecessary sutures, and direct cautery to the tonsil bed are all effective measures that have diminished post-op pain in bipolar electrocautery dissection, compared to cold dissection tonsillectomy. Conclusion: Bipolar cautery dissection with some modification is very good alternative for tonsillar surgery.