These surgeries involved either (1) Coblation, (2) Coblation with partial suture closure of the tonsillar fossa
, (3) diathermy, or (4)partial intracapsular tonsillectomy (PIT).
However electrocautery is the most commonly applied technique for tonsillectomy world wide Monopolar diathermy entails using a monopolar cautery probe to thermally coagulate and dissect in the plane of tonsillar fossa
and control hemorrhage at the same time by ablating the bleeders5,6.
3) As post-operative pain played an important role in early recovery of the patient, pain was managed by infiltration of local anaesthetic into the tonsillar fossa
during intraoperative period and intramuscular nonsteroidal anti-inflammatory drugs and oral analgesics in postoperative period.
On palpation, tonsillar fossa
right side was noted to be tender and a bony projection was felt, which was absent on the left side.
Clinical examination can reveal a hard mass in the tonsillar fossa
2,4 Diagnosis is usually made by palpating the tonsillar fossa
for an unusually elongated styloid process, (Fig.
The surgeon removed the soft palate on the left side, the anterior and posterior tonsillar pillar, the tonsillar fossa
, the triangular fossa and the base of the tongue up to the posterior pharyngeal wall.
Tonsil size was graded as follows: (13) zero--the patient had a tonsillectomy (not applicable to this study); grade 1--tonsils are in the tonsillar fossa
, barely seen behind the anterior pillars; grade 2--tonsils are visible behind the anterior pillars; grade 3--tonsils extend 3/4 to the midline; grade 4--tonsils completely obstruct the airway (also known as 'kissing' tonsils).
Most commonly, they are found in the nasal cavity, nasopharynx, or paranasal sinuses but are also frequently seen in the larynx, tonsillar fossa
, and at the base of the tongue.
In other words, the tonsillar fossa
on one side was deeper than the one on the other side.
Seven years posttransplantation (1993), a left tonsillar fossa
tumor was noticed and excised.
The complete course of second branchial fistula begins near the anterior border of the SCM, tracks superiorly and laterally to the common carotid artery, passes medially between the external and internal carotid arteries, moves lateral and superior to the glossopharyngeal and hypoglossal nerves, and penetrates the middle pharyngeal constrictor muscle to open into the tonsillar fossa