Contents

Preface

Introduction

Abstract

Introduction

References

Chapter 1

Powered Adenoidectomy

Abstract

Introduction

Methods

References

Chapter 2

Intracapsular Tonsillectomy: My Surgical Approach (Max M. April, MD, FAAP, FACS)

Abstract

Introduction

Intracapsular Tonsillectomy Technique

More Advanced Technique

Postoperative Care

Chapter 3

Abstract

Introduction

Preoperative Considerations

Intracapsular Tonsillectomy Technique

Postoperative Care

Reference

Chapter 4

Intracapsular Tonsillectomy: My Surgical Approach (John P. Bent, MD)

Abstract

Introduction

Preoperative Considerations

Intracapsular Tonsillectomy Technique

Postoperative Care

Acknowledgments

References

Chapter 5

Extracapsular Tonsillectomy in 2017

Abstract

Introduction

History of Tonsillectomy

Indications

Pre-Operative Evaluation

Anesthesia Considerations

Procedure

Post-Operative Care

Post-Operative Morbidity/Complications

Hot versus Cold Tonsillectomy

Extracapsular vs. Intracapsular Techniques

Bipolar Electrocautery/Bipolar scissors

Radiofrequency Ablation/Coblation

Argon Plasma Coagulation

Ultrasonic/Harmonic Scalpel

Laser (CO2, KTP)

PEAK Plasma Blade

Powered Instruments: Microdebrider

Vessel Sealing System

Cost

Summary

References

Chapter 6

Coblation Intracapsular Tonsillectomy

Coblation Intracapsular Tonsillectomy Adenoidectomy Technique

References

Chapter 7

The Results of Intracapsular vs. Extracapsular Tonsillectomy

Abstract

Introduction

Postoperative Pain

Postoperative Recovery

Postoperative Hemorrhage

Treatment Efficacy and Regrowth Rates

Cost Considerations

Concluding Thoughts

References

Chapter 8

The Management of Post-Tonsillectomy Pain in Children

Abstract

Introduction

Pain Management with Medications: Contemporary Issues

Acetaminophen

Narcotics/Opioids

Other Medications

Operative Adjuncts

Parental Education

Surgical Techniques and Pain

Partial Intracapsular Tonsillectomy

Our Protocol

Conclusion

References

Chapter 9

Conclusion and Future Questions

Abstract

Introduction

Methods

Recurrent Tonsil Infections

Admission for Children under 3

Anesthetic Considerations

Postoperative Pain Control without Narcotics

Timing of PACU Observation

Overall Cost of Tonsil Surgery

Return to Presurgical Activity Level

Effect on Swallowing

Effect on Voice

Overall Experience

Future Lingual Tonsil Hypertrophy

Future Obstructive Sleep Apnea

Conclusion

References

Index

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