XXV. The Evolution of the Tonsillotome

Friedberg, Stanton A.

doi:10.1177/000348941402300203

Cited by 4 publications

(10 citation statements)

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“…13 More than eight different kinds of guillotine-type instrument, or tonsillotomes, were described in these five years. 13 More than eight different kinds of guillotine-type instrument, or tonsillotomes, were described in these five years.…”

Section: Evolution Of Tonsil Surgerymentioning

confidence: 99%

“…The period from 1827 to 1832 has been characterized as one with a 'spirit of instrumental unrest'. 13 More than eight different kinds of guillotine-type instrument, or tonsillotomes, were described in these five years. The instruments designed by Philip Syng Physick and William B Fahnestock gained considerable popularity and were modified many times over the next 100 years.…”

Section: Evolution Of Tonsil Surgerymentioning

confidence: 99%

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The evolution of tonsil surgery and rethinking the surgical approach to obstructive sleep-disordered breathing in children

2006

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Within the last 10 to 15 years, a significant amount of research in tonsil surgery has focused on reduction of post-operative pain and recovery time. In order to minimize or avoid morbidity, a number of otolaryngologists in the United States and Europe have revived a historical procedure, previously known as 'tonsillotomy', specifically for those patients with obstructive sleep-disordered breathing (OSDB) due to adenotonsillar hypertrophy. More recently, surgeons have used terms such as partial tonsillectomy, partial intracapsular tonsillectomy or subtotal tonsillectomy to describe their procedure and have employed a variety of modern instrumentation. This return to a 'partial' procedure has generated a debate similar to that which occurred amongst tonsil surgeons about 100 years ago, when tonsillotomy was the most commonly performed procedure. Today, concerns about regrowth and problems with infection of the remaining tonsillar tissue have been raised. Such concerns, combined with an incomplete understanding of why the 'partial' procedure was abandoned in the early twentieth century, may explain why tonsil surgeons hesitate to change their approach to patients with OSDB due to adenotonsillar hypertrophy. These issues can be addressed in a meaningful way only through a detailed review of the evolution of tonsil surgery, which is presented here. This information, along with a summary of the last 10 years' experience with these techniques, supports the use of a 'partial' procedure in children with OSDB due to adenotonsillar hypertrophy. Future areas of research are also discussed.

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Section: Evolution Of Tonsil Surgerymentioning

confidence: 99%

Section: Evolution Of Tonsil Surgerymentioning

confidence: 99%

The evolution of tonsil surgery and rethinking the surgical approach to obstructive sleep-disordered breathing in children

2006

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“…The first instrument used for guillotine tonsillectomy was derived from the uvulotome, described in the Historiarum Anatomicarum Rariorum Centuriae of Thomas Bartholin 4 . Since then, several modifications have been attempted by Physick, Mackenzie, Sluder and Popper.…”

Section: Discussionmentioning

confidence: 99%

Guillotine tonsillectomy: a neglected technique

et al. 2009

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“…He described different operative procedures that included the use of a form of tonsil guillotine. 3,4 The modern tonsillotome or guillotine and its various modi cations evolved from an instrument called the uvulotome, that was originally designed for the removal of the oedematous or elongated uvula. The earliest description of the uvulotome appears in the Historiarum Anatomicarum Rariorum Centuriae of Thomas Bartholin, Hafniae, 1941.…”

Section: History Of the Tonsillotomementioning

confidence: 99%

“…The earliest description of the uvulotome appears in the Historiarum Anatomicarum Rariorum Centuriae of Thomas Bartholin, Hafniae, 1941. 4 In this Bartholin speaks of the prevalence of a certain kind of catarrah which occurs in Norway during the winter months. He described a disease 'which spread to the fauces and uvula causing a swelling of the latter at times as to necessitate surgical intervention in order to prevent suffocation'.…”

Section: History Of the Tonsillotomementioning

confidence: 99%

Guillotine tonsillectomy: a glimpse into its history and current status in the United Kingdom

et al. 2002

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Guillotine tonsillectomy was the widely practised technique of tonsillectomy in the late 19th century as it was considered a quick and reliable method of removing tonsils. It fell into disrepute in the early 20th century. This paper reviews the history of the origin of the tonsillotome and traces the various modifications over the last few centuries. The current practice of guillotine tonsillectomy is examined by means of a postal questionnaire survey of all UK consultants.

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XXV. The Evolution of the Tonsillotome

Cited by 4 publications

References 0 publications

The evolution of tonsil surgery and rethinking the surgical approach to obstructive sleep-disordered breathing in children

The evolution of tonsil surgery and rethinking the surgical approach to obstructive sleep-disordered breathing in children

Guillotine tonsillectomy: a neglected technique

Guillotine tonsillectomy: a glimpse into its history and current status in the United Kingdom

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