Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2021, Vol. 35 ›› Issue (5): 62-66.doi: 10.6040/j.issn.1673-3770.0.2020.430

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Application of the ultrasonic scalpel in tonsillectomy for biopsy of patients with suspected tonsillar tumor

SHEN Nimei, QIAN Maohua, JIN Jiaxin, QIN Yang, WANG Jun, WU Ying, GAO Gang   

  1. Department of Otorhinolaryngology & Head and Neck Surgery, Second Affiliated Hospital of Nantong University, Nantong First People's Hospital, Nantong 226001, Jiangsu, China
  • Published:2021-09-29

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Abstract: Objective We aimed to explore the application of the ultrasonic scalpel in tonsillar tumor resection. Methods Seventy cases of adult patients with abnormally shaped unilateral tonsils suspected of being tumors were divided into ultrasonic scalpel(35 cases)and electric scalpel(35 cases)groups. The general clinical data, operation time, intraoperative blood loss, postoperative pharyngeal pain and complications of the patients were recorded, and the data of the two groups were compared. Results The postoperative pathologies of the two groups were revealed to be mostly benign lesions, with the most chronic inflammation, followed by papilloma and cysts. Most malignant lesions were lymphoma. The ultrasonic scalpel group was superior to the electrosurgical group in terms of operative time and intraoperative blood loss(P<0.001), although it exhibited no obvious advantages in terms of postoperative secondary bleeding, postoperative infection, and duration of hospitalization. No postoperative primary hemorrhage was observed in the ultrasonic scalpel group and 5 patients in the electrosurgical group; however, the difference between the two groups was not statistically significant(P=0.054). The pain visual analogue scale(VAS)score of the ultrasonic scalpel group on the first day after surgery was superior to that of the electrosurgical group(P=0.009), and the difference was not statistically significant at 2, 5, and 10 days after surgery. Conclusion The ultrasonic scalpel is an ideal surgical instrument for tonsillectomy in patients with suspected tonsillar tumors.

Key words: Tonsil, Tumor, Ultrasonic scalpel, Electric scalpel, Tonsillectomy

CLC Number: 

  • R766
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