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Letters to the Editor
April 2003

Partial Tonsillectomy Revisited and Role for Mini-Tracheotomy Revisited

Arch Otolaryngol Head Neck Surg. 2003;129(4):500. doi:10.1001/archotol.129.4.500-a

Two letters in the August 2002 issue of the ARCHIVES seem worthy of comment. Dr Cantor's1 view is correct, that, regardless of technique, complete and total tonsillectomy is the appropriate procedure if tonsil surgery is necessary. The current fad for radiofrequency shrinking of tonsils is no better than the 1970s' fad for cryosurgery of tonsils, which also required multiple procedures due to the unpredictability of each "freeze"; it is also no better than partial tonsillectomy, recently resurrected after originally espoused in the 1980s by a forgotten author who recommended leaving a "cuff" of tonsil tissue in each fossa to avoid exposing the muscles and thus diminish postoperative pain.

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