{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T22:36:05Z","timestamp":1774996565429,"version":"3.50.1"},"reference-count":17,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,5,17]],"date-time":"2016-05-17T00:00:00Z","timestamp":1463443200000},"content-version":"vor","delay-in-days":6742,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[1997,12]]},"abstract":"<jats:sec><jats:title>OBJECTIVE<\/jats:title><jats:p>To evaluate microsurgical bipolar cautery tonsillectomy (TE<jats:sub>mic<\/jats:sub>) by comparing it with traditional blunt dissection tonsillectomy (TE<jats:sub>trad<\/jats:sub>).<\/jats:p><\/jats:sec><jats:sec><jats:title>DESIGN<\/jats:title><jats:p>A double\u2010blind prospective randomized trial with stratification in two age groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>PATIENTS<\/jats:title><jats:p>200 consecutive patients undergoing tonsillectomy for tonsillar hypertrophy, or recurrent or chronic tonsillitis.<\/jats:p><\/jats:sec><jats:sec><jats:title>OUTCOME MEASURES<\/jats:title><jats:p>Duration of surgery, intraoperative bleeding, daily postoperative pain and otalgia, postoperative bleeding episodes.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>Duration of surgery and operative bleeding were evaluated by the anesthesiologist. The patients were instructed to record daily pain and otalgia. Final postoperative evaluation was done by a different physician, blinded to the surgical technique.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Mean intraoperative bleeding was 12\u00a0ml for TE<jats:sub>mic<\/jats:sub> and 36\u00a0ml for TE<jats:sub>trad<\/jats:sub> (<jats:italic>p<\/jats:italic> &lt; 0.001). Mean duration of surgery was 37\u00a0minutes for TE<jats:sub>mic<\/jats:sub> and 36\u00a0minutes for TE<jats:sub>trad<\/jats:sub> (NS). Otalgia was present in 41% of TE<jats:sub>mic<\/jats:sub> patients and 69% of TE<jats:sub>trad<\/jats:sub> patients (<jats:italic>p<\/jats:italic> &lt; 0.001). Daily postoperative pain was lower in the TE<jats:sub>mic<\/jats:sub> group than it was in the TE<jats:sub>trad<\/jats:sub> group for the entire study period (10\u00a0days). Postoperative hemorrhage was present in three TE<jats:sub>mic<\/jats:sub> patients (3%) and in eight TE<jats:sub>trad<\/jats:sub> patients (8%), a difference that did not reach significance (<jats:italic>p<\/jats:italic> &gt; 0.1).<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSION<\/jats:title><\/jats:sec>","DOI":"10.1016\/s0194-59989770046-9","type":"journal-article","created":{"date-parts":[[2022,9,28]],"date-time":"2022-09-28T13:37:57Z","timestamp":1664372277000},"page":"641-647","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Microscopic tonsillectomy: A double\u2010blind randomized trial"],"prefix":"10.1002","volume":"117","author":[{"given":"Oskar","family":"Kujawski","sequence":"first","affiliation":[{"name":"Division of Head and Neck Surgery University Canton Hospital of Geneva Geneva Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pavel","family":"Dulguerov","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery University Canton Hospital of Geneva Geneva Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudine","family":"Gysin","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery University Canton Hospital of Geneva Geneva Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Willy","family":"Lehmann","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery University Canton Hospital of Geneva Geneva Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,5,17]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199310000-00018"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100124211"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199306000-00008"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1992.tb00980.x"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1986.03780060022002"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1990.01870050090013"},{"key":"e_1_2_5_8_1","volume-title":"La douleur chez l'enfant","author":"Gauvin\u2010Piquard A","year":"1989"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03006125"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00609889"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1989.tb00397.x"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100118493"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199005000-00014"},{"key":"e_1_2_5_14_1","volume-title":"Current therapy in Otolaryngology\u2010Head and Neck Surgery","author":"Helmus C.","year":"1994"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1984.tb01519.x"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100113131"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1991.tb01936.x"},{"key":"e_1_2_5_18_1","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1288\/00005537-199005000-00009","article-title":"Tonsillectomy and adenoidectomy: An inpatient or outpatient procedure?","volume":"100","author":"Robert A.","year":"1990","journal-title":"Laryngoscope"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/S0194-59989770046-9","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/S0194-59989770046-9","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/S0194-59989770046-9","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:50:02Z","timestamp":1760957402000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1016\/S0194-59989770046-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1997,12]]},"references-count":17,"journal-issue":{"issue":"6","published-print":{"date-parts":[[1997,12]]}},"alternative-id":["10.1016\/S0194-59989770046-9"],"URL":"https:\/\/doi.org\/10.1016\/s0194-59989770046-9","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[1997,12]]},"assertion":[{"value":"2016-05-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}