oa South African Medical Journal - Trauma in tonsillectomy : its prevention



Tonsillectomy, the most frequent operation performed, can be associated with mild to extensive trauma in the nose, nasopharynx, oro-pharynx and tonsillar region. Endotracheal anaesthesia is also associated with an equally formidable list of physical traumata, with psychical trauma in addition. Selection of the best modern instruments available, gentleness, co-operation with the anaesthetist and elimination of haste will help considerably in minimizing trauma. A traumatic anaesthesia and tonsil dissection will give rapid, painless convalescence, with no sequelae. An earnest endeavour should be made by all tonsillectomists to respect the fragility of the mucosa of the pharynx, nose and throat, and to realize that trauma in these regions, of even the slightest degree, is suffered in exaggerated form by the patient.


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