The role of hypertonic saline in monopolar tonsillectomy in adult patients.

This study's objective was to look for a simple and inexpensive method to reduce patients' pain during tonsillectomy. Bilateral tonsillectomy patients were enrolled and placed into different groups based on their admission numbers. Patients with odd numbers had electrical tonsillectomy on the right side with hypertonic saline injection into the tonsillar capsule (group A) or electrical tonsillectomy on the left side with normal saline injection (group B). Those with even numbers had electrical tonsillectomy on the left side with hypertonic saline injection into the tonsillar capsule (group A) or electrical tonsillectomy on the right side with normal saline injection (group B). Pain, operative bleeding, postoperative bleeding, and operation time were evaluated. Injecting hypertonic saline into the tonsillar capsule reduced pain caused by electrical tonsillectomy but did not impact the operative or postoperative bleeding and operation time. While simple and economic, monopolar electrical tonsillectomy with the help of hypertonic saline injected into the tonsillar capsule can effectively relieve patients' pain when compared to surgeries with normal saline injection.