Die “Ultraschalltonsillektomie” im Vergleich zur konventionellen Tonsillektomie

Abstract

Based on the results of the study the ultrasound technique is not superior to the conventional tonsillectomy.

Advantages of a new technique of neck dissection using an ultrasonic scalpel

“…An introduction of new operative techniques based on modern technology improves several negative consequences of the surgery. The mechanism of the harmonic scalpel is based on transforming electrical energy into mechanical movement of 55.5 kHz frequency with a help of a piezo-crystalline device (Lee and Park, 1999;Haegner et al, 2002). The vibrating tip causes a cavitation in the surrounding tissue and heat production with a temperature peak of 80 1C (at the end of the blade) both providing effective tissue cutting and vessel coagulation without an electrical current (Lee and Park, 1999;Emam and Cuschieri, 2003;Metternich et al, 2003a,b).…”

“…Metternich et al (2001Metternich et al ( , 2003a in their studies on tongue, Vol. [ml] ultracision surgery conventional surgery Advantages of a new technique of the neck dissection 13 salivary gland and tonsil surgery emphasize that the use of a harmonic scalpel does not affect wound healing whilst Haegner et al (2002) reported prolonged wound healing and more postoperative haemorrhage following tonsillectomy. These differing results require further investigation when compared with this study.…”

Malpractice claims and unintentional outcome of tonsil surgery and other standard procedures in otorhinolaryngology

“…2)). Only few clinics analyze possible causes and rates of PTH, effects of newer surgical instruments or make suggestions for an adequate complication management protocol [29], [30], [31], [32], [33], [34], [35], [36], [37], [38], [39], [40], [41]. For the first time, the Prospective Multicenter Tonsillectomy Study in Austria stratified bleeding events by a sophisticated classification system [42], [43], [44].…”

Tonsillitis and sore throat in children

“… Dissection with the CO 2 laser [ 222 ] Dissection with hot knife [ 131 ] Dissection with monopolar high frequency current [ 51 ] Dissection with the ultrasound scalpel [ 86 ] Dissection with bipolar radiofrequency coblation [ 160 ] Dissection with bipolar scissors [ 104 ] Dissection with argon gas-assisted monopolar needle [ 99 ] Removal of the excess tissue with the microdebrider [ 137 ] …”