This article describes the benefits of performing intracap- sular tonsillectomy with bipolar electrosurgical scissors as an alternative to the powered microdebrider. These scissors are used to excise approximately 90% of the tonsillar mass en bloc. The remaining tonsillar tissue is electrodesiccated by monopolar suction cautery, while the anterior and posterior pillars are completely preserved. The procedure leaves a smaller surgical wound than do extracapsular techniques. Surgical time averages 6 min-utes. There is typically no intraoperative blood loss. Bipolar electrosurgical scissors are an efficient and low-cost tool for performing pediatric intracapsular tonsillectomy.
Source URL: http://www.entjournal.com/article/pediatric-intracapsular-tonsillectomy-bipolar-electrosurgical-scissors#comment-0