1. By Jacqueline Meier Mrs. Click Spring 2014
Health Science ISM
By Jacqueline Meier
Mrs. Click
Spring 2014

2. Mentor: Dr. Deborah Miller
Career: Ear, Nose, and throat specialist
Mentorship site: 250 Blossom St.
Project Topic: Comparing different removal options and procedures for tonsillectomy

3. Dr. Miller’s Background
Current education level: Doctorate (M.D) total of 8 years of school
Typical schedule: Seeing patients in office Monday, Wednesday, and Friday.
Tuesday and Thursday are surgery days
Decided to become an ENT after doing rotations in med school
Studied at Virginia Tech for 4 years & later finished up school at University of Texas for another 4 years

4. What is an ENT Specialist?
“Otolaryngologists diagnose and manage diseases of the ears, nose, sinuses, larynx (voice box), mouth, and throat, as well as structures of the neck and face.”

5. Ears- Nose- Throat- Earing loss and earing disorders
Middle ear infection
Nose-
Chronic sinusitis
Nasal polys
Throat-
Swollen tonsils
Tonsillectomy

6. What does it take to be an ENT?
Educational requirements- Undergraduate degree- 4 years Medical Degree- 4 years Residency years
According to globalpost.com “ear, nose and throat doctors must complete a 5-year residency when studying at Loyola University in Chicago.”
Total of at least 11 years at least and a maximum of 16
Salary- Average annual income 411,689

7. Project topic
Comparing different procedures and techniques that can be utilize in order to perform tonsillectomy
Product: Tri-fold board

8. Tonsillectomy
What is tonsillectomy? Surgical removal of tonsils, glands in the throat that help fight infection.
Why should you get them removed? Constantly getting strep throat or other infections of the mouth, blocking breathing passage way, foul order or taste in mouth.

9. Brief animation of tonsillectomy procedure

10. Main ways to perform tonsillectomy
- Burns tonsils and surrounding tissue
Electrocauterization
Also knows as Ultrasonography this uses energy from an ultrasound to vibrate the blade
Harmonic Scalpel
Disrupts the molecular bonds of tonsil tissue.
Bipolar Radiofrequency Ablation

11. Electrocauterization
A device that burns tonsils and surrounding tissue in order to remove tonsils and cause less bleeding
Use During Surgery
This technique may be used in surgery to cut through soft tissue and completely remove the tonsils this is done so that the surgeon can gain access to the site and seal off blood vessels that are bleeding during surgery.

12. Harmonic Scalpel Used during surgery:
Uses hot ultrasonic energy to vibrate a special blade. The blade cuts tonsil tissues and stops bleeding.
Used during surgery:
This action cuts tissue with a fraction of the heat and trauma as compared to electrical cutting currents. The intense vibration also causes the blood in the immediate area to coagulate, so there is virtually no blood loss during the operation.

13. Bipolar Radiofrequency Ablation
Uses radiofrequency energy to destroy tonsil tissue
Used during surgery:
As the energy is transferred to the tissue, ionic dissociation occurs. This mechanism can be used to remove all or only part of the tonsil. This causes removal of tissue with a thermal effect of C°. The advantages of this technique are less pain, faster healing, and less post operative care.

14. Data:

15. Conclusion:
Coblation tonsillectomy results in decreased postoperative pain compared to electrocautery and Harmonic tonsillectomy. This is based on pain scores analysis and on faster return to normal diet.
patients undergoing cold steel tonsillectomy have less pain than patients undergoing electrocautery. However, intraoperative blood loss and operative time are decreased cautery tonsillectomy.
The Harmonic Scalpel tonsillectomy offers advantages of early return to diet and activity over standard electrocautery tonsillectomies.

16. Dr.Miller
Mrs.Click
Mrs.Randall
Kelsi Smith
My mom

17. Citations
Ahmed, A., I. Aliyu, and E. Kolo. "Indications for Tonsillectomy and Adenoidectomy: Our Experience." Nigerian Journal of Clinical Practice (2014): 90. Academic OneFile. Web. 10 Apr &it=r&p=AONE&sw=w&asid=77b916f a546d aa3663
Fallon, L. Fleming. "Tonsillectomy." The Gale Encyclopedia of Surgery. Ed. Anthony J. Senagore. Vol. 3. Detroit: Gale, Gale Virtual Reference Library. Web. 10 Apr < &it=r&p=GVRL&sw=w&asid=751d1777e8a e082f3317e3d9>.
Ibekwe, Titus, Godwin Obasikene, and Ekeng Offiong. "Tonsillectomy: Vasoconstrictive Hydrolytic Cold Dissection Method." African Journal of Paediatric Surgery 10.2 (2013): 150. Academic OneFile. Web. 4 Apr < 573&it=r&p=AONE&sw=w&asid=38b7a665eda08d43338f3d63aca6e0e7>.

18. Citations Continued
Skolnik, Neil, and Jennifer Thuener. "Tonsillectomy in Children." Family Practice News 1 Aug. 2011: 98. Academic OneFile. Web. 6 Apr < &it=r&p=AONE&sw=w&asid=2c0631a9e4b68b8a306b77d70279e5e3>.
Chang, Christopher Y., and Richard Thrasher. "Coblation Cryptolysis to Treat Tonsil Stones: A Retrospective Case Series." Ear, Nose and Throat Journal June 2012: 238. Academic OneFile. Web. 10 Apr < &it=r&p=AONE&sw=w&asid=f04a5e3d28b33588dd4930e29d46d876>.
Ali, Naeem Sultan, Dr, and Mubasher Ikram, Dr. "Harmonic Scalpel versus Electrocautery Tonsillectomy: A Comparative Study in Adult Patients." Harmonic Scalpel versus Electrocautery Tonsillectomy: A Comparative Study in Adult Patients. N.p., n.d. Web. 04 May 2014.