{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T06:19:44Z","timestamp":1773296384733,"version":"3.50.1"},"reference-count":18,"publisher":"Cambridge University Press (CUP)","issue":"10","license":[{"start":{"date-parts":[[2012,9,19]],"date-time":"2012-09-19T00:00:00Z","timestamp":1348012800000},"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":[[2012,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective:<\/jats:title><jats:p>To conduct an adequately powered, prospective, randomised, controlled trial comparing adult dissection tonsillectomy using either ultrasonic scalpel, bipolar electrocautery, bipolar radiofrequency or \u2018cold steel\u2019 dissection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p>Three hundred patients were randomised into four tonsillectomy technique groups. The operative time, intra-operative bleeding, post-operative pain, tonsillar fossa healing, return to full diet, return to work and post-operative complications were recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p>The bipolar radiofrequency group had a shorter mean operative time. The mean intra-operative blood loss during bipolar radiofrequency tonsillectomy was significantly less compared with cold dissection and ultrasonic scalpel tonsillectomy. Pain scores were significantly higher after bipolar electrocautery tonsillectomy. Patients undergoing bipolar electrocautery tonsillectomy required significantly more days to return to full diet and work. The bipolar electrocautery group showed significantly reduced tonsillar fossa healing during the first and second post-operative weeks.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p>In this adult series, bipolar radiofrequency tonsillectomy was superior to ultrasonic, bipolar electrocautery and cold dissection tonsillectomies. This method combines the advantages of \u2018hot\u2019 and \u2018cold\u2019 tonsillectomy.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215112002022","type":"journal-article","created":{"date-parts":[[2012,9,19]],"date-time":"2012-09-19T08:58:41Z","timestamp":1348045121000},"page":"1056-1062","source":"Crossref","is-referenced-by-count":25,"title":["Six years of evidence-based adult dissection tonsillectomy with ultrasonic scalpel, bipolar electrocautery, bipolar radiofrequency or \u2018cold steel\u2019 dissection"],"prefix":"10.1017","volume":"126","author":[{"given":"S M","family":"Ragab","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2012,9,19]]},"reference":[{"key":"S0022215112002022_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2008.08.025"},{"key":"S0022215112002022_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(03)00729-0"},{"key":"S0022215112002022_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/S1074-3804(05)80174-4"},{"key":"S0022215112002022_ref7","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1177\/014556130408301017","article-title":"Harmonic scalpel versus conventional tonsillectomy: a double-blind clinical trial","volume":"83","author":"Collison","year":"2004","journal-title":"Ear Nose Throat J"},{"key":"S0022215112002022_ref17","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-003-0609-8"},{"key":"S0022215112002022_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2005.07.037"},{"key":"S0022215112002022_ref1","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0b013e32801042fa"},{"key":"S0022215112002022_ref13","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2044.2001.02275.x"},{"key":"S0022215112002022_ref12","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2007.00234.x"},{"key":"S0022215112002022_ref3","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000225944.00189.e9"},{"key":"S0022215112002022_ref15","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200201000-00017"},{"key":"S0022215112002022_ref4","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200105000-00004"},{"key":"S0022215112002022_ref14","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-4486.2007.01529.x"},{"key":"S0022215112002022_ref8","doi-asserted-by":"publisher","DOI":"10.1177\/000348940811700110"},{"key":"S0022215112002022_ref11","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.2004.00856.x"},{"key":"S0022215112002022_ref10","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD002211.pub2"},{"key":"S0022215112002022_ref16","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1016\/S0140-6736(04)16896-7","article-title":"Tonsillectomy technique as a risk factor for postoperative haemorrhage","volume":"364","author":"Lowe","year":"2004","journal-title":"Lancet"},{"key":"S0022215112002022_ref5","doi-asserted-by":"publisher","DOI":"10.1002\/lary.5541121405"}],"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\/S0022215112002022","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,7,3]],"date-time":"2019-07-03T22:25:10Z","timestamp":1562192710000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215112002022\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,9,19]]},"references-count":18,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2012,10]]}},"alternative-id":["S0022215112002022"],"URL":"https:\/\/doi.org\/10.1017\/s0022215112002022","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,9,19]]}}}