{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T18:23:11Z","timestamp":1760984591531},"reference-count":13,"publisher":"Cambridge University Press (CUP)","issue":"11","license":[{"start":{"date-parts":[[2012,9,11]],"date-time":"2012-09-11T00:00:00Z","timestamp":1347321600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2012,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective:<\/jats:title><jats:p>This trial aimed to compare the guillotine technique of tonsillectomy with \u2018cold steel\u2019 dissection, the current \u2018gold standard\u2019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design:<\/jats:title><jats:p>A single centre, randomised, controlled trial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p>One hundred children aged 3 to 11 years who were listed for bilateral tonsillectomy were recruited. Patients had one tonsil removed by each technique, and were blinded to the side. The operative time, intra-operative blood loss, haemostasis requirement and post-operative pain scores were recorded and compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p>Operative time and intra-operative blood loss were both significantly less for the guillotine technique (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001) and there was a significantly reduced haemostasis requirement (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001). Pain was also less on the guillotine side (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001). There were no tonsillar remnants or palatal trauma for either technique. There was no significant difference between techniques in the frequency of secondary haemorrhage.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p>This study provides level Ib evidence that guillotine tonsillectomy in children with mobile tonsils is an effective and time-efficient procedure which produces less intra-operative blood loss and post-operative pain than cold steel dissection.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s002221511200196x","type":"journal-article","created":{"date-parts":[[2012,9,11]],"date-time":"2012-09-11T12:34:33Z","timestamp":1347366873000},"page":"1142-1149","source":"Crossref","is-referenced-by-count":8,"title":["Guillotine versus dissection tonsillectomy: randomised, controlled trial"],"prefix":"10.1017","volume":"126","author":[{"given":"S J","family":"Frampton","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M J A","family":"Ward","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V S","family":"Sunkaraneni","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H","family":"Ismail-Koch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Z A","family":"Sheppard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R J","family":"Salib","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P K","family":"Jain","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2012,9,11]]},"reference":[{"key":"S002221511200196X_ref12","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100067712"},{"key":"S002221511200196X_ref3","doi-asserted-by":"publisher","DOI":"10.1258\/002221502761698694"},{"key":"S002221511200196X_ref1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100066949"},{"key":"S002221511200196X_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/S0385-8146(84)80015-2"},{"key":"S002221511200196X_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(99)00296-7"},{"key":"S002221511200196X_ref5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.2005.00977.x"},{"key":"S002221511200196X_ref7","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100094676"},{"key":"S002221511200196X_ref4","doi-asserted-by":"publisher","DOI":"10.1017\/S002221510900485X"},{"key":"S002221511200196X_ref11","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100147486"},{"key":"S002221511200196X_ref8","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100120961"},{"key":"S002221511200196X_ref2","doi-asserted-by":"publisher","DOI":"10.1097\/mlg.0b013e318031f0b0"},{"key":"S002221511200196X_ref6","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100109417"},{"key":"S002221511200196X_ref13","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1992.tb00980.x"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S002221511200196X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,24]],"date-time":"2019-04-24T21:58:40Z","timestamp":1556143120000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S002221511200196X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,9,11]]},"references-count":13,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2012,11]]}},"alternative-id":["S002221511200196X"],"URL":"https:\/\/doi.org\/10.1017\/s002221511200196x","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,9,11]]}}}