• Seung Won Lee, Soo Sung Jeon, Jong Dae Lee, Jae Yong Lee, Shi Chan Kim, and Yoon Woo Koh.
• Department of Otolaryngology, Head and Neck Surgery, Soonchunhyang University College of Medicine, Wonmi-Gu, Bucheon, Korea.
• Otolaryngol Head Neck Surg. 2008 Aug 1; 139 (2): 228-34.

ObjectivesTo compare the efficacy and safety of BiClamp forceps tonsillectomy (BT) with standard electrocautery tonsillectomy (ET) in terms of postoperative pain and complication rates.Study DesignProspective randomized study.Subjects And MethodsThe following variables were examined: postoperative complications, intraoperative blood loss, operating time, postoperative pain and diet scores using visual analog scales, and time until return to normal activity.ResultsThe mean operating time and the grade of intraoperative blood loss were significantly lower in the BT group than in the ET group for both pediatric and adult patients. For adult patients, the overall complication rates were significantly lower in the BT group. In addition, a significant early decrease in the pain score and significant improvement in dietary intake until postoperative day 14 were observed in the BT group for both pediatric and adult patients.ConclusionsThe use of BiClamp forceps in tonsillectomy reduces the intraoperative blood loss and postoperative pain score, and facilitates an early return to normal diet and activity.

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