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Intraoperative bupivacaine for reduction of post-tonsillectomy pain: A randomized, placebo-controlled, double-blind study of 26 patients

September 1, 2009  |  Tammara L. Watts, MD, PhD and Stilianos E. Kountakis, MD, PhD


We conducted a randomized, controlled, double-blind, prospective study to evaluate the effect of intraoperative bupivacaine injection on postoperative pain control following Bovie cautery-assisted tonsillectomy in 26 adults. Sixteen patients were injected with 10 ml of 0.5%...

Lymphoma in the Waldeyer ring: A great masquerader

June 1, 2009  |  Ryan F. Osborne, MD, FACS, Jason S. Hamilton, MD, FACS, and Sofia Avitiaz, MD

Avoiding oral burns during electrocautery tonsillectomy

February 1, 2009  |  Thomas R. Lowry, MD, FACS and Jonathon R. Workman, MD, FACS


Electrocautery tonsillectomy is a common method of tonsil removal, and electrocautery devices are widely available. Although these devices are relatively safe, inadvertent patient injury may occur with their use, such as oral cavity burns. We describe a simple surgical...

Intratonsillar abscess: A rare cause for a common clinical presentation

December 1, 2008  |  Eng Cern Gan, MBBS, MRCS, Yuk Hui Ng, MBBS, MRCS, Siew Yoong Hwang, MBBS, FRCS, and Peter Kuo San Lu, MBBS, FRCS


Intratonsillar abscess is a rare clinical condition in patients who present with odynophagia. We report the case of a 33-year-old man who presented with odynophagia, unilateral tonsillar enlargement with palatal fullness, and deviation of the uvula. Failed attempts at drainage...

Harmonic scalpel tonsillectomy versus monopolar diathermy tonsillectomy: A prospective study

June 1, 2008  |  Jason A. Roth, BSc(Med), MBBS, Tobias Pincock, MBBS, FRACS;, Raymond Sacks, MBBCh, FCS(SA)ORL, Martin Forer, MBBCh, FRACS;, Neil Boustred, MBBCh, FCS(SA)ORL, William Johnston, MBBS, FRACS;, and Michael Bailey, PhD, MSc


For tonsillectomy, the ultrasonic harmonic scalpel has been purported to cause less tissue injury and postoperative morbidity while providing adequate levels of hemostasis. We undertook a prospective study to compare outcomes in 162 patients who had undergone harmonic scalpel...

Safety and efficacy of pressure-assisted tissue-welding tonsillectomy: A preliminary evaluation

February 1, 2008  |  Randall G. Michel, MD, FACS, Bernard I. Weinstock, MD, and Kang Tsau, MD


We conducted a retrospective study of the safety and efficacy of a new pressure-assisted tissue-welding technology (ENTceps; Starion Instruments Corp.; Sunnyvale, Calif.) for total tonsillectomy, either alone or with adenoidectomy. The use of this instrument was compared in two...

Unilateral tonsillar lymphoepithelioma with ipsilateral parapharyngeal space involvement: A case report

December 1, 2007  |  Scott L. Lee, MD, Ching Y. Lee, MD, PhD, Rami K. Batniji, MD, and Steven Silver, MD


We report a case of unilateral tonsillar lymphoepithelioma with extension into the ipsilateral parapharyngeal space, and we review the clinical, histologic, and radiographic findings of the case. The patient presented with a tonsillar mass that was confirmed on biopsy to be...

Solitary neurofibroma of the palatine tonsil: A case report

December 1, 2007  |  Kumar Madhumita, MS(ENT), Ajit Nambiar, MD(Path), and Parameswaran Prathapan, MS(ENT)


We present a rare case of a benign tumor of the tonsil in a 49-year-old woman. The tumor was excised in its entirety, and the patient's postoperative course was uneventful. No evidence of recurrence was detected during follow-up. Although some sporadic cases of tonsillar...

Comparison of Helicobacter pylori colonization on the tonsillar surface versus tonsillar core tissue as determined by the CLO test

August 1, 2007  | 

Bijan Khademi, MD;
Nika Niknejad, MD;
Behrooz Gandomi, MD;
Firoozeh Yeganeh, MD


Schwannoma of the tonsil

June 1, 2007  |  Byung-Joo Lee, MD, PhD; Soo-Geun Wang, MD, PhD; Jin-Choon Lee, MD, PhD; Il-Woo Lee, MD, PhD

Between 25 and 48% of schwannomas have been reported to occur in the head and neck region; the acoustic nerve is...

Follicular dendritic cell sarcoma of the tonsil: A case report and literature review

April 1, 2007  |  Chad McDuffie, MD; Timothy S. Lian, MD; Joel Thibodeaux, MD

Bilateral peritonsillar abscesses: A challenging diagnosis

March 1, 2007  |  James T. Edinger, MD; Elias Y. Hilal, MD; Khurshed J. Dastur, MD


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