Abstract:

Objective: To optimize the surgical treatments of chronic tonsillitis in children with different operative methods and reduced complications and medical costs. Methods: Five hundreds of chronic tonsillitis children aged 5 -11 treated with non -anesthesia guillotine method of tonsillectomy or tonsil resection under general anesthesia in Chuxiong Affiliated Hospital of Dali University from January 1996 to February 2011 were enrolled in the research, clinical data were performed a retrospective analysis. Results：Four hundreds cases underwent non-anesthesia guillotine method of tonsillectomy, residues were observed in 20 patients（5%）, and primary hemorrhage in 12 cases （3%）; no residue retention found in 100 cases of tonsil resection under general anesthesia, and 2 cases （2%）occurred primary hemorrhage. Conclusion: Tonsil resection under general anesthesia showed advantages on less residue retention and primary hemorrhage compared to the non-anesthesia guillotine method, but the disadvantage
on the risk of anesthesia and high medical cost.

Key words: tonsillectomy, children, chronic tonsillitis