By Jacqueline Meier Mrs Click Spring 2014 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 ID: 511196
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Slide1
Health Science ISM
By Jacqueline Meier
Mrs. Click
Spring 2014Slide2
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
Slide3
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 Slide4
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
.” Slide5Slide6
What does it take to be an ENT?
Educational requirements-
Undergraduate degree- 4 years Medical Degree- 4 years Residency- 3- 8 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 411,689Slide7
Project topic
Comparing different procedures and techniques that can be utilize in order to perform tonsillectomy
Product:
Tri-fold board Slide8
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. Slide9
Brief animation of tonsillectomy procedure
http://www.youtube.com/watch?v=zzXzr-zDLX8Slide10
Main ways to perform tonsillectomy Slide11
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. Slide12
Harmonic Scalpel
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.Slide13
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 45-85 C°. The advantages of this technique are less pain, faster healing, and less post operative care. Slide14
Data: Slide15
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. Slide16
Dr.Miller Mrs.Click
Mrs.Randall
Kelsi Smith My mom Slide17
Citations
Ahmed, A., I.
Aliyu
, and E. Kolo. "Indications for Tonsillectomy and Adenoidectomy: Our Experience." Nigerian Journal of Clinical Practice
17.1 (2014): 90.
Academic OneFile
. Web. 10 Apr. 2014.
http://go.galegroup.com/ps/i.do?id=GALE|A354977565&v=2.1&u=leag77573&it=r&p=AONE&sw=w&asid=77b916f5648722a546d8467390aa3663Fallon, L. Fleming. "Tonsillectomy." The Gale Encyclopedia of Surgery. Ed. Anthony J. Senagore. Vol. 3. Detroit: Gale, 2004. 1423-425.
Gale Virtual Reference Library. Web. 10 Apr. 2014. <http://go.galegroup.com/ps/i.do?id=GALE|CX3406200448&v=2.1&u=leag77573&it=r&p=GVRL&sw=w&asid=751d1777e8a99015105e082f3317e3d9>.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. 2014. <http://go.galegroup.com/ps/i.do?id=GALE|A340351123&v=2.1&u=leag77573&it=r&p=AONE&sw=w&asid=38b7a665eda08d43338f3d63aca6e0e7>.Slide18
Citations Continued
Skolnik
, Neil, and Jennifer
Thuener. "Tonsillectomy in Children."
Family Practice News
1 Aug. 2011: 98.
Academic OneFile
. Web. 6 Apr. 2014. <http://go.galegroup.com/ps/i.do?id=GALE|A266941036&v=2.1&u=leag77573&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. 2014. <http://go.galegroup.com/ps/i.do?id=GALE|A294894492&v=2.1&u=leag77573&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.