International Journal of Head and Neck Surgery

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VOLUME 4 , ISSUE 1 ( January-April, 2013 ) > List of Articles


Advantages of Tonsillectomy done under Local Anesthesia compared to General Anesthesia in Adults

Sudhir Naik, S Ravishankara, Mohan K Appaji, MK Goutham, Nonthombam Pinky Devi, Annapurna S Mushannavar

Citation Information : Naik S, Ravishankara S, Appaji MK, Goutham M, Devi NP, Mushannavar AS. Advantages of Tonsillectomy done under Local Anesthesia compared to General Anesthesia in Adults. Int J Head Neck Surg 2013; 4 (1):13-18.

DOI: 10.5005/jp-journals-10001-1129

Published Online: 01-08-2014

Copyright Statement:  Copyright © 2013; The Author(s).



Tonsillectomy using local anesthesia (local tonsillectomy) is a safe and effective alternative to general anesthesia in the healthy cooperative teenage or adult patients. Blood loss, morbidity, complications and patient satisfaction were better in some studies with tonsillectomies done under general anesthesia.


Comparative case series analysis study of two groups of patients who underwent tonsillectomies under local and general anesthesia during the study period of 57 months from March 2007 to December 2011.

Materials and methods

Overall 1,349 cases of tonsillectomies done for chronic tonsillitis were included under the study. Three hundred and sixty-seven cases operated under general anesthesia and 982 cases operated under local anesthesia were compared. The parameters compared were duration of surgery, blood loss and the mean pain visual analog score.


Significant difference in duration of surgery, blood loss during surgery and visual analog scale (VAS) pain scores were seen in the two groups with local anesthesia scoring over general anesthesia.


Tonsillectomy under local anesthesia is a good alternate for the procedure under general anesthesia with limited resources and in cooperative adults.

How to cite this article

Naik SM, Naik SS, Ravishankara S, Appaji MK, Goutham MK, Devi NP, Mushannavar AS. Advantages of Tonsillectomy done under Local Anesthesia compared to General Anesthesia in Adults. Int J Head Neck Surg 2013;4(1):13-18.

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  1. Children's Tonsils in or out? A critical study of the end results of tonsillectomy. Philadelphia: JB Lippincott 1932;7: 2-10.
  2. Current thinking on tonsillectomy and adenoidectomy. Compr Ther 1983;12:48-56.
  3. Current indications for tonsillectomy and adenoidectomy. Ann Otol Rhinol Laryngol 1992;155(Supp):58-64.
  4. Indian J Otolaryngol Head Neck Surg 2002 April-June;54(2).
  5. Adult tonsillectomy. Clin Otolaryngol 1991;16:21-24.
  6. Tonsillectomy under local anesthesia: A safe and effective alternative: Am J Otolaryngol 1990 Jan-Feb;11(1):18-22.
  7. Histologia basica (9th ed). Rio de janeiro: Guanabara Koogan; 242-43.
  8. Analise histological de 24 tonsilas faringeas de pacientes submetidos a adenoidectomia ou a adenoamigdalaectomia. Rev Bras Otorrinolaryngol 2002;68(5): 615-18.
  9. Evaluation of the utility and cost-effectiveness of obtaining histopathologic diagnosis on all routine tonsillectomy specimens. Laryngoscope 2001; 111(12):2116-69.
  10. Histopathologia de amidalas e adenoids de 154 pacientes operados. Rev Port Otorrinolaringol 2003; 41(1):35-39.
  11. Embriologica clinica. 4th ed. Rio de Janeiro: Guanabara Koogan 1996;259.
  12. Tonsillectomy and adenoidectomy. In: Bluestone CD, Stool SE (Eds). Pediatric Otolaryngology (2nd ed). Philadelphia: WB Saunders 1990;2:915-26.
  13. 200 year history of tonsillectomy. Images from the history of otorhinolaryngology, highlighted by instruments from the collection of the German Medical History Museum in Ingolstadt. Laryngorhinootology 1997;76(12):751-60.
  14. A simple operation for the removal of tonsil with notes on 900 cases. Lancet 1909;1:1314-15.
  15. An operation for the excision of tonsils. Lancet 1909;2:572.
  16. Tonsillectomy: A clinical study comparing the effects of local versus general anesthesia. Laryngoscope 1986 Mar;96(3):308-10.
  17. The effect of preincisional infiltration of tonsils with bupivacaine on the pain following tonsillectomy under general anesthesia. Pain 1991;47:305-08.
  18. Peritonsillar infiltration with bupivacaine for paediatric tonsillectomy. Anaes and Intensive Care 1994;22:679-82.
  19. The effect of benzydamine hydrochloride (difflam) spray on post-tonsillectomy symptoms: A double blind study. The J of Laryngol Otol 1986;100:303-06.
  20. Diclofenac sodium for post-tonsillectomy pain in children. Anesthesia 1988;43:641-43.
  21. Sucralfate in alleviating posttonsillectomy pain. Laryngoscope 1992;102:1242-46.
  22. Evaluation of transcutaneous electrostimulation in the management of post-tonsillectomy pain in adults. Rev Laryngol-Otal-Rhinol-Bord 1996;117:89-92.
  23. A comparison of postoperative bleeding incidence between general and local anesthesia tonsillectomies. Otolaryngol Head Neck Surg 1990 Jun;102(6):654-57.
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