Methods Of Tonsillectomy Research Articles

Ultrasound-Guided Selective Glossopharyngeal and Maxillary Nerve Blocks for Analgesia After Tonsillectomy: A Pilot Study.

Purpose Postoperative pain management methods for tonsillectomy commonly include the use of opioids, non-steroidal anti-inflammatory drugs, and acetaminophen. However, some patients report pain despite the use of these medications. In recent years, ultrasound-guided selective glossopharyngeal nerve block (UGSGNB) and ultrasound-guided maxillary nerve block (UGMNB) have been reported to be effective for analgesia post-tonsillectomy. We retrospectively analyzed the effects of UGSGNB and UGMNB in the perioperative management of patients who underwent tonsillectomy under general anesthesia. Methods This retrospective study evaluated adults (18-61 years old) who had received general anesthesia for tonsillectomy. The control group comprised 25 patients who received general anesthesia using the standard protocol, and the nerve block group comprised 10 patients who also received additional UGGNB and UGMNB. Results While these nerve blocks may have contributed to improving the postoperative food intake, they did not reduce the frequency of postoperative analgesia used. Improved dietary intake after UGSGNB and UGMNB could be advantageous for postoperative recovery. Conclusion Further research with a larger number of cases and prospective intervention studies are necessary to determine the effects of combining UGSGNB and UGMNB for post-tonsillectomy analgesia.

Comparison of Post-Tonsillectomy Hemorrhage rate in patients undergoing two commonly used Tonsillectomy Methods.

Objective: To compare the cold steel method and bipolar diathermy in tonsillectomies in terms of post-tonsillectomy hemorrhage. Study Design: Randomized Controlled Trial. Setting: Department of ENT, Head & Neck Surgery, Ayub Teaching Hospital, Abbottabad. Period: 29th October 2020 to 1st June 2022. Methods: A total of 102 patients of both genders with ages 3 to 59 years undergoing tonsillectomy were included. Patients undergoing antiplatelet therapy, experiencing bleeding diathesis, possessing a high anesthetic risk, having uncontrolled medical conditions, suffering from anemia, or currently dealing with acute infections were not included in the study. Patients were divided into two groups A & B. Group A patients were operated by the Cold steel method and Group B were operated by Bipolar diathermy. All the surgeries were performed by the same surgical team. Both tonsils were fully exposed by Boyl Devi's mouth gag under general anesthesia. Complete removal of both tonsils was done with the Cold steel method in group A and by using Bipolar diathermy in group B. Post-operative hemorrhage (occurring 24 hours after surgery) without the necessity to return to the operation theatre for intervention was assessed. Results: The mean age of patients in group A was 20.0 ± 13.83 years and in group B was 19.12 ± 13.17 years. The majority of the patients 79 (77.45%) were between 3 to 30 years of age. Out of 102 patients, 63 (61.76%) were males and 39 (38.24%) were females with male to female ratio of 1.6:1. Frequency of secondary hemorrhage in Group A (cold steel method) was found in 01 (1.96%) while in Group B (bipolar diathermy) was 06 (11.76%) (p-value = 0.050). Conclusion: This study concluded that the frequency of post-tonsillectomy hemorrhage is higher in patients operated by bipolar diathermy as compared to the cold steel method.

Coblation versus BiZact extra-capsular tonsillectomy in adults: a randomized control trial.

Tonsillectomy is a frequently performed otolaryngological procedure and is associated with significant postoperative pain and bleeding. A number of studies have investigated methods to reduce pain and bleeding. Coblation and BiZact devices have both been claimed to have favourable pain outcomes following tonsillectomy. This study was designed to investigate these two techniques in a direct comparison of postoperative pain and bleeding. In this single blinded, randomized control trial, 61 patients were randomly assigned to undergo tonsillectomy with either the BiZact or Coblation device. Pain scores were collected for 14 days postoperatively using a Visual Analogue Score scale. Secondary outcome data was collected for duration of surgery, intra-operative bleeding, return to normal, and secondary bleeding rates. Coblation was found to have lower postoperative pain on day 1 (P < 0.05). BiZact was found to have lower postoperative pain on day 7 (P < 0.05) and day 11 (P < 0.05). Pain scores for other days were not significant. There was no significant difference in set-up time, procedural time and return to normal activities. The BiZact group had a longer time to achieve haemostasis (P < 0.001) and greater intraoperative blood loss (P < 0.01). There was a trend towards more significant secondary bleeding in the BiZact arm, however, this study was not adequately powered to assess this finding. Both Coblation and BiZact devices appear to provide a safe and effective method for tonsillectomy in adults. Reduced pain on day 1 may make Coblation more suitable for day-case surgery.

Molecular Resonance Generator (MRG) Assisted Tonsillectomy - An Innovative Technique

Molecular Resonance Generator (MRG) Assisted Tonsillectomy - An Innovative Technique

Dissection Method and Diathermy Cauterization in Tonsillectomy- A Hospital Based Comparative Study

Tonsillectomy is one of the most common procedures performed by otolaryngologists. It is a surgical operation that removes both palatine tonsils from the tonsillar fossa. It is typically performed in youngers for recurrent tonsillitis and tonsillar hypertrophy. This study was done to compare the dissection and diathermy methods of tonsillectomy and evaluate their advantages and disadvantages during surgery and convalescence. This study was a retrospective analysis of 400 patients from January 2015 to January 2020 in Otorhinolaryngology and Head-Neck Surgery department of Bangabandhu Sheikh Mujib Medical College Hospital, Faridpur. Out of 400 patients 200 patients underwent tonsillectomy by dissection method and rest 200 patients underwent electrocautery method. Total 400 patients were analyzed separately their hospital stay, blood loss per-operatively, complications in each method and overall outcome of the patients. The overall hospital staying in both types was 1-3 days. The average intra operative blood loss was 5-7 ml in cautery and average 50 ml in dissection method. The average operative time was 25-30 minutes in dissection method and 10-15 minutes was in electrocautery. We found higher amounts of blood loss and intra - operative time in dissection method than electrocautery. The chance of secondary haemorrhage was more in electrocautery method than dissection method. Pain, scar formation, odynophagia were more in cauterization method. Complete healing time was more in cauterization method than dissection method. There was no death in both methods. Although per-operative blood loss, operation time were less in cauterization method but post operative bleeding, pain, odynophagia and infection were more in electro cauterization method. In both methods, there were some advantages and some disadvantages. Bangabandhu Sheikh Mujib Med. Coll. J. 2023;2(1): 40-44

Comparison between Cold Steel Method and Bipolar Diathermy Method of Tonsillectomy

Introduction It is generally accepted that the ideal method of tonsillectomy should have less operative time, blood loss, post-operative haemorrhage and morbidity.1 Objective: To compare post-operative pain, intra-operative blood loss and duration of surgery between cold dissection and bipolar diathermy dissection method of Tonsillectomy. Materials and Methods This study was a prospective and comparative hospital-based study. It was conducted from January 2021 - June 2022 at the Department of ENT of a tertiary referral hospital, Kolkata. 90 patients were included in this study fulfilling the inclusion and exclusion criteria. Results In bipolar diathermy method, the mean total blood loss (in ml) (mean±s.d.) of patients was 15.0778±4.6011 and in cold steel method it was 33.0000±5.8737. Post-operative pain for cold dissection on day 1, day 3 and day 10 was [4.4889±.6613], [2.0222±.7830] and [.3778±.4903] respectively. Post-operative pain for bipolar diathermy on day 1, day 3 and day 10 was [4.9556±.2084], [2.5778±1.0111] and [1.6222±.7474] respectively. Duration (in minutes) for bipolar diathermy dissection was [15.2889±1.9612] and for cold dissection it was [24.0444±2.3351]. Conclusion The blood loss and duration were less in bipolar diathermy method but post-operative pain was more as compared to cold steel method. Keywords Tonsillectomy, cold steel, bipolar diathermy, post-operative pain.

Evaluation of Post-Tonsillectomy Complications between the Traditional Cold-Steel Dissection and Electrocautery Methods. A Controlled Randomized Trial

Background: One of the most frequent ENT surgical procedures is the tonsillectomy. Comparing electrocautery to the conventional cold-steel dissection technique, it has been indicated that the latter will cause fewer post-tonsillectomy problems. However, there needs to be more randomized controlled studies to compare the two methods. Objectives: This Study's primary goal is to compare the post-tonsillectomy problems caused by the electrocautery technique versus the conventional cold-steel dissection approach. Methods: Between January 2022 and January 2023, this Study was carried out by the department of Ent hmc Peshawar. A prospective randomized controlled trial will include 125 participants in total. Patients will get a tonsillectomy and be randomly allocated to either the electrocautery technique or the conventional cold-steel dissection approach. Pain, bleeding, and infection related to post-tonsillectomy sequelae will be assessed and compared between the two groups. Results: The Study's findings will be utilized to compare the effectiveness and safety of the electrocautery approach versus the conventional cold-steel dissection method for tonsillectomy. Conclusion: This Study will provide otolaryngologists with evidence-based advice on a tonsillectomy procedure. Keywords: tonsillectomy, electrocautery, cold-steel, post-tonsillectomy complications, randomized controlled trial

Tonsillitis Index: Classification, Epidemiology, Prevention of Tonsillitis and Different Tonsillectomy Techniques for Recurrent Acute Tonsillitis

Tonsils function as a defense system and aid in keeping your body free of infections. About 5% to 40% of cases of tonsillitis are caused by bacterial infection, which is the most frequent cause of the condition. There are several different forms of tonsillitis, including viral tonsillitis and bacterial tonsillitis, which is brought on by bacteria like streptococcal pharyngitis. Tonsil redness and swelling are its symptoms. Tonsils that are covered in white or yellow patches or have a sore throat, swallowing problems, fever, swollen tonsils, etc. There are just a few treatment options, including surgery to remove the tonsils, medication such NASIDs and antibiotics, and home remedies. A tonsillectomy is a surgical procedure that totally removes the tonsil. Different methods are used to accomplish it. Any method of tonsillectomy is acceptable as long as the crypts are kept open and some tonsil tissue is left behind, including laser, radiofrequency, shaver, coblation, bipolar scissor, and Colorado needle. Even the finest surgeon will have a postoperative haemorrhage because bleeding is a possibility with all surgical methods. After cold dissection with ligature or suturing, there is the least chance of haemorrhage. A increased risk of late bleeding exists with all "hot" procedures using laser, radiofrequency, coblation, mono- or bipolar forceps. In seriously afflicted infants with recurrent tonsillitis, an antibiotic allergy, PFAPA syndrome (periodic fever, aphthous stomatitis, pharyngitis, and cervical adenitis), and peritonsillar abscess, total extracapsular tonsillectomy is still advised. It affects the patients' immunity.

Ropivacaine 0.25% versus bupivacaine 0.25% in immediate post tonsillectomy pain management: a randomised control trial

Background: Tonsillectomy is one of the most common surgeries performed by an otolaryngologist, with post operative pain during the initial 24 hours being one of the most common challenging concerns. This makes it a need to find a suitable mode for managing the post operative pain imperative. This study aims to: assess the post operative pain control with ropivacaine 0.25% and bupivacaine 0.25% and to assess which among these two drugs are better in controlling the post operative pain and safer. Methods: The 70 patients were selected, randomized, double blinded into group 1 and group 2 and given intraoperative infiltration of either 0.25% ropivacaine or 0.25% ropivacaine respectively into the tonsillar bed after tonsillectomy. The surgeries were done by the same surgeon by cold steel method of tonsillectomy. Post operative pain was evaluated using VAS (visual analogue scale) at regular intervals. Other parameters like hemodynamic status, surgical duration, any adverse reactions to the medications are also recorded. Results: There was a statistically significant difference seen in the post operative pain scores between the two groups at all time intervals, with group 1 having a lower score compared to group 2. Conclusions: Intraoperative infiltration of local anesthetics into the tonsillar bed was effective in controlling the post operative pain, with ropivacaine suitable anesthetic agent as compared to bupivacaine due to its higher efficacy and safety.

ELECTRODISSECTION TONSILLECTOMY AS A TECHNIQUE TO MINIMISE THE INTRAOPERATIVE HAEMORRHAGE AND THE DURATION OF THE SURGERY

Background With advancing age s various methods have been practiced to dissect the palatine tonsils. The methods of tonsillectomy have been broadly grouped as hot and cold tonsillectomy. To analyze Aim &amp; Objective the use and effectiveness of the electrodissection method in comparison to the cold dissection with ligation method in terms of the intraoperative haemorrhage and the duration the procedure of Tonsillectomy. This hospital based obse Methods rvational study was conducted at a tertiary care hospital situated in Diphu, Assam, from March 2021 to March 2023, after obtaining the ethical committee clearance. Total 40 patients were selected to be included in this study. Tonsillectomy was done by the electrodissection method and the cold dissection method in either side of the same patient and the results obtained were compared. The mean blood loss Results during the electrodissection tonsillectomy (for one side) was 11.60 ± 4.24 mL, whereas, in cold tonsillectomy (for one side) the mean intra operative blood loss was 42.73 ± 6.42 mL . The mean duration for the electrodissection tonsillectomy was 8.68 ± 2.09 minutes, whereas the mean time for performing the cold dissection method was 25.65 ± 4.15 minutes. Both of these results are highly signicant with p- value &lt; 0.001. Elec Conclusion trodissection tonsillectomy is reliably a faster and a safer method and it may be of greater use in high risk patients.

Comparative Study of Bipolar Electrocautery Versus Silk Ligation for Hemostasis During Tonsillectomy.

Tonsillectomy is a commonly performed surgery in otolaryngological practice. Owing to the possibility of postoperative bleeding, it is considered as one of the major surgical procedures. Various techniques have been advocated, however dissection and electrocautery are the most commonly used techniques in tonsillectomy. The objective was to study and compare the relative efficacy using two methods of tonsillectomy- bipolar electrocautery versus silk ligation. This prospective study included 50 patients who underwent tonsillectomy. Patients were randomly divided into two groups. In Group A, left tonsillar fossa haemorrhage was controlled by ligation, while in Group B, bipolar diathermy was used to control bleeding of right tonsillar fossa. Comparison was done in terms of time taken for hemostasis, amount of intra-operative blood loss and post-operative pain. 130 (72.22%) male and 50 (27.77%) females were included. Group A included 20 cases while Group B included 30 cases. The mean time taken for hemostasis in Group A patients was 40.5 ± 4.4min as compared to 25.3 ± 6.2min in Group B patients. The mean blood loss on cautery side was 49.5 ± 4.5 ml and that on the ligation side was 68.6 ± 5.3 ml. Post-operative pain was significantly more in Group B patients as compared to Group A patients. Bipolar diathermy is a quicker and faster method to achieve hemostasis with little intraoperative blood loss as compated to silk ligation.

A comparative study of conventional cold dissection and coblation method of tonsillectomy

A comparative study of conventional cold dissection and coblation method of tonsillectomy

A comparative study of conventional cold dissection and coblation method of tonsillectomy

A comparative study of conventional cold dissection and coblation method of tonsillectomy

A Comparison of Dissection Method and Diathermy Cauterization Tonsillectomies

Background: Tonsillectomy is one of the most common procedures performed by otolaryngologists. It is a surgical operationthat removes both Palatine tonsils from the tonsillar fossa. It is typically performed in youngsters for recurrent tonsillitis andtonsillar hypertrophy. Objective: To compared the dissection and diathermy methods of tonsillectomy and evaluate their advantages anddisadvantages during surgery and convalescence. Methods: This is was a retrospective analysis of 400 patients from January 2015 to January 2020 of otorhinolaryngologydepartment in Banga Bandhu Sheikh Mujib Medical Collage Hospital. Out of total 400 patients 200 patients underwenttonsillectomy by dissection method and rest 200 patients underwent electro cautery method. Data were generated through recordreview using a checklist. A total of 400 patients were analyzed in respect of operation methods, operation time, and amount ofblood loss, post operative complications, duration of hospital stay in addition to age &amp; sex distribution separately for comparison. Results: The overall hospital stayinng in both types was 1-3 days. The average intra operative blood loss was 5-7 ml withcautery and average 50 ml with dissection method. The average operative time was 25-30 minutes with dissection method and10-15 minutes with cautery. We found higher amounts of blood loss and intra - operative time with dissection method thanelectrocautery. The Chance of Secondary haemorrhage was more in electro - cautery method than dissection method. Pain,Scar formation, odynophagia were more in cauterization method. Complete healing time was more in cauterization methodthan dissection method. There was no death in both methods.Conclusion: Although per- operative blood loss, operative time were less in cauterization method but post operative bleeding,pain, odynophagia and infection were more in electro cauterization method. In both methods, there were some advantages andsome disadvantages.

Comparison of Complications after Tonsillectomy between Conventional Cold Steel Dissections Method and Electrocautery Tonsillectomy Method. A Randomized Controlled Trial

Aims: To compare the intra-operative bleeding amount during the tonsillectomy operative procedure by using the monopolar electrocautery method versus the cold steel tonsillar dissector method, and to compare postoperative pain for the initial six hours in both groups. Study design: A randomized controlled trial Place and Duration: Departments of ORL (Otorhinolaryngology) and HNS, Kulsumbai Valika Social Security SITE Hospital, Karachi, and in Social Security Landhi Hospital Karachi, Pakistan from January 1st, 2021 to December 31st, 2021 Methodology: One hundred and twenty patients were selected for this study from the outpatient department of both hospitals and they were divided into two groups equally i.e. those patients who will be operated with monopolar electrocautery, included in group C and those patients who will be operated on with the cold steel dissection method by tonsillar dissector, was in group-D. After receiving written informed consent from the patients they were operated on as the first and second cases in each OT List. Blood loss was measured during the operative procedure and calculated by the number of blood-soaked gauzes and post-operative pain was measured by the VAS pain scale, the house officer, and resident doctors on the floor. Results: Females predominance was observed in this study, Female to a male ratio in Group C was 2:1, and in Group D it was 3:1 The Mean ± Standard Deviation of the ages were 11.75 ± 3.25 yrs. and 14.25 ± 3.70 yrs. in both groups. The mean blood loss during tonsillectomy was 16.70 ± 4.70 ml in Group C and 50.70 ± 30.50 in Group D, a statistically significant difference was observed between the two groups and the p-value was &lt; 0.05. The mean time duration of tonsillectomy was 14.10 ± 2.5 minutes in Group C and 20.40 ± 3.50 in Group D. Practical implication: Nowadays monopolar electrocautery is used for tonsillectomy because in this method intraoperative bleeding is minimum and operative time is also short Conclusion: Intra-operative bleeding was minimum while tonsillectomy was done by monopolar cautery and postoperative pain was more in this method which was controlled by analgesics. Keywords: tonsillectomy, cold steel dissection, monopolar electrocautery, intraoperative blood loss, postoperative pain, PACU

COBLATION TONSILLECTOMY VERSUS DISSECTION TONSILLECTOMY IN MANAGEMENT OF PATIENTS WITH CHRONIC TONSILLITIS

BACKGROUND: Tonsillectomy is the most routinely performed surgical operation in the recent years. There have been lots of controversies about tonsillectomy techniques to provide better conditions with more benefits and less complications. Coblation tonsillectomy is an advanced surgical technique and demands further research to be proven as a suitable and standard method of tonsillectomy. For more than a century, traditional dissection tonsillectomy has remained the gold standard for tonsil removal. &#x0D; OBJECTIVE: The objective of this study is to compare mean operation time and blood loss after radiofrequency coblation tonsillectomy versus dissection tonsillectomy in management of patients with chronic tonsillitis&#x0D; RESULTS: The mean age of cases in this study was 33.78±16.21 years with 56(46.67%) male and 64(53.335) female cases in this study. In dissection group mean blood loos was 143.63±34 mL and in Coblation group the mean blood loos was 113.45±24.61 mL, p-value &lt; 0.001. The mean surgery time in dissection group was 40.08±6.64 minutes and in Coblation group was 32.62±4.21 minutes with significantly less in Coblation method when compared with dissection group, p-value &lt;&#x0D; 0.001. &#x0D; Conclusion: Through the findings of this study we found that radiofrequency Coblation yields less mean operation time and mean blood loss when compared with dissection tonsillectomy in management of patients with chronic tonsillitis. Using radiofrequency Coblation better outcome can be achieved along with patient’s and surgeons satisfaction.

Albucasis (936–1013), a pioneer in tonsillectomy

Background The surgical removal of tonsils has been performed from as long as three thousand years ago, as mentioned in Hindu literature. The role medieval physicians like Albucasis played in the history of tonsillectomy is very important. This article aims to show the contributions Albucasis made to this procedure. Methods The present library-documentary research relied on the third chapter of the book al-Tasrif, Albucasis’ surgical text, as the main information source. Results Albucasis discussed the conditions necessary for tonsillectomy, he introduced three surgical tools for this operation, and he also described the surgical method. Albucasis succeeded in inventing and discovering new tools and methods for tonsillectomy. Conclusion The comparison of the tonsil surgery introduced by Albucasis and those of earlier and later surgeons reveals Albucasis’ superiority in both operation performance and equipment used. Some of his methods are comparable with approaches to operations used in the 20th century.

Monopolar versus bipolar cautery in tonsillectomy: A comparative study

Introduction: Tonsillectomy is the most commonly performed surgeries in otolaryngology. Despite the evolution in surgical and anaesthetic techniques, pain and bleeding are still the most important surgical complications. This study was done to compare the pain and bleeding following tonsillectomy using monopolar and bipolar cautery techniques in our population. Methods: It was a prospective, longitudinal study done over a period of one year at Gandaki Medical College, Pokhara, Nepal. Total 45 patients who underwent tonsillectomy by either monopolar or bipolar cautery were included in the study and assessed for postoperative pain and haemorhage. The data was entered in Microsoft Excel and further analysis done by statistical package for the social sciences 16.0. The association of variables was be tested by Chi square test and p-value of less than 0.05 was considered significant. Confidence interval was be kept at 95%. Results: Out of the 45 patients who underwent tonsillectomy, 35.5% were males and 64.5% were females. The age of patients varied from 16 to 60 years. Mean age of the patients was 27.5 years. Fourty percent of the total patients underwent tonsillectomy by monopolar cautery whereas 60% patients were operated by bipolar cautery. No statistically significant difference was found between the two groups regarding age, sex ratio, postoperative pain and bleeding. Conclusions: Both monopolar and bipolar cautery are equally effective methods of tonsillectomy in terms of postoperative pain and haemorrhage.

Complications of canine tonsillectomy by clamping technique combined with monopolar electrosurgery – a retrospective study of 39 cases

BackgroundCanine tonsillectomy is performed due to acute or chronic tonsillitis, neoplasia, trauma or occasionally brachycephalic obstructive airway syndrome. Several tonsillectomy techniques are used but information about surgical complications is scarce. This retrospective study of patient records at the University Animal Hospital aimed to investigate complications related to canine tonsillectomy performed by 20-min clamping combined with monopolar electrosurgery.Inclusion criteria were bilateral tonsillectomy performed with “20-min clamping technique combined with monopolar electrosurgery without suture or ligation”. Exclusion criteria were unilateral tonsillectomy, tonsillar neoplasia, additional surgical procedures other than tonsillectomy, cases where sutures were used initially, and cases where unspecified or other methods of tonsillectomy were used. The search of the patient records of the University Animal Hospital included a 10-year period. Complications that required additional anaesthesia were defined as major complications. Minor complications were handled during surgery or after surgery without surgical intervention.ResultsOf 39 dogs that fulfilled the inclusion criteria, 11 dogs had complications and out of those 1 dog had two complications. Altogether, of the 12 complications, 2 were classified as major complications and 10 as minor.The most frequent complication was bleeding from the surgical site, in total 11 incidences; 10 dogs had an incidence of bleeding and out of those, 1 dog bled twice, both during and after surgery. Of these 10 dogs that bled, seven incidences of bleeding occurred during surgery and four incidences occurred after surgery. The two dogs with major complications were re-anaesthetized due to bleeding after surgery. No lethal complications occurred and all dogs survived to discharge.ConclusionsBleeding during and after surgery was a common complication in dogs after bilateral tonsillectomy using “20-min clamping technique combined with monopolar electrocautery”. Revision intervention was often needed, sometimes urgently. Although no comparison was made with another technique, the studied technique should be used with caution.

Clinical and microbiological efficacy of various methods of tonsillectomy

Introduction. There is an abundance of various methods of surgical treatment in the world, which include: classical tonsillectomy (TE), shaver TE, unipolar and bipolar bilateral TE, laser TE, palatine tonsil coblation, etc. However, there is still a risk of recurrence of chronic tonsillitis after TE there is a need for a study in the late postoperative period.Purpose of the study. Improving the efficiency of surgical treatment of patients with chronic tonsillitis based on the analysis of five main methods of surgical treatment of chronic tonsillitis according to clinical and laboratory criteria.Materials and methods. Patients were divided into 5 study groups depending on the method of tonsillectomy: The first group consisted of 60 patients after classical tonsillectomy. In the second group there were 55 patients after palatine tonsil coblation. The third group included 48 patients after laser tonsillectomy. The fourth group consisted of 64 patients after tonsillectomy using the surgitron apparatus. The fifth group consisted of 58 patients after microdebrider tonsillectomy.Results. By analysis, it was found that the best results were obtained in patients of the 1st group, who underwent classical tonsillectomy. In this group, there are fewer cases of subjective and objective clinical symptoms (sore throat, signs of subatrophic pharyngitis, hypertrophy of the lateral folds of the pharynx, remnants of the lymphoid tissue of the palatine tonsils, as well as postoperative cicatricial changes). In a laboratory study, patients of the 1st group had the lowest values of the indicators (ASL-O titer, CRP and DNase B levels, negative results of the Streptatest).