DOI: 10.36347/sjams.2020.v08i11.015

Pages: 2515-2519

Background: Basically tonsillitis is rapid onset inflammation of the tonsils. It is associated with sore throat, fever, enlargement of the tonsils, troublesome swallowing and large lymph nodes around the neck. Dissection versus diathermy tonsillectomy is two reliable methods in the treatment of tonsillitis. We have a few comparative information between those two different methods. Aim of the study: The aim of this study was to evaluate the dissection and diathemy tonsillectomy in treating the patients with tonsillitis. Methods: This prospective cross sectional study was conducted in the Department of Otolaryngology & Head-Neck Surgery, Sirajganj 250 Bed Bongamata Sheikh Fazilatunnesa Mujib General Hospital, Sirajganj, Bangladesh during the period from January 2018 to December 2019. In total 125 patients of several ages with tonsillitis required dissection or diathemy tonsillectomy were finalized as the total study population. Among total participants in Group I, in 48 patient’s diathemy method was applied whereas in Group II in 77 patients dissection procedure was applied. All the data were collected, processed and disseminated by using SPSS version 15.5. Result: In both the groups the mean hospital staying duration was the same and it was 1 day (SD: ± 0.22). Among both the groups in 9 (18.75%) participants of Group I got any type of post-operative complication whereas it was in 26 (33.77%) participants of Group II. In this study per-operative blood loss for diathermy tonsillectomies ranged from 8 ml to 30 ml, with the average being 15 ml. On the other hand, per-operative blood loss for dissection method of tonsillectomy ranged from 30 to 80 ml, with the average being 45 ml. In dissection-method, needed average time was 16.75 minutes whereas in diathermy procedures it was 24.50 minutes. Conclusion: In both the procedures post-operative bleeding, pain, fever and infections were the common complications. But difference of the volume of intra-operative..............