The need for a good technique in tonsil and adenoid surgery is of considerable importance when you consider that this surgery is an elective procedure. Bokwin1 states that there is no emergency for tonsil and adenoid surgery; he also stresses the dangers and pitfalls of tonsil and adenoid surgery.
Tonsil and adenoid surgery represents one-third of all surgical procedures.2 Royal Works3 states that 15% of all anesthetic deaths are from tonsil and adenoid surgery. Bleeding from the tonsil, or adenoid, or both is the most important contributing cause. The blood problem results in 2 basic factors:4 (1) asphyxiation from inhalation of blood; (2) exsanguination of the patient with resultant drop in hemoglobin and inability to supply body tissues with oxygen.
The question of anesthesia is important in tonsil and adenoid surgery. It is well to realize there are not enough trained doctors in anesthetics to supply
FORDYCE JOHNSON. Electrocautery in Tonsil and Adenoid Surgery. Arch Otolaryngol. 1962;75(2):127–129. doi:10.1001/archotol.1962.00740040133010