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Health Science ISM

Health Science ISM. By Jacqueline Meier Mrs. Click Spring 2014. Mentor: Dr. Deborah Miller Career: Ear, Nose, and throat specialist Mentorship site: 250 Blossom St. Project Topic: Comparing different removal options and procedures for tonsillectomy. Dr. Miller’s Background.

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Health Science ISM

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  1. Health Science ISM By Jacqueline Meier Mrs. Click Spring 2014

  2. Mentor: Dr. Deborah Miller • Career: Ear, Nose, and throat specialist • Mentorship site: 250 Blossom St. • Project Topic: Comparing different removal options and procedures for tonsillectomy

  3. Dr. Miller’s Background • Current education level: Doctorate (M.D) total of 8 years of school • Typical schedule: Seeing patients in office Monday, Wednesday, and Friday. • Tuesday and Thursday are surgery days • Decided to become an ENT after doing rotations in med school • Studied at Virginia Tech for 4 years & later finished up school at University of Texas for another 4 years

  4. What is an ENT Specialist? • “Otolaryngologists diagnose and manage diseases of the ears, nose, sinuses, larynx (voice box), mouth, and throat, as well as structures of the neck and face.”

  5. What does it take to be an ENT? • Educational requirements- Undergraduate degree- 4 years Medical Degree- 4 years Residency- 3- 8 years • According to globalpost.com “ear, nose and throat doctors must complete a 5-year residency when studying at Loyola University in Chicago.” • Total of at least 11 years at least and a maximum of 16 • Salary- Average annual income $411,689

  6. Project topic • Comparing different procedures and techniques that can be utilize in order to perform tonsillectomy Product: Tri-fold board

  7. Tonsillectomy • What is tonsillectomy? Surgical removal of tonsils, glands in the throat that help fight infection. • Why should you get them removed? Constantly getting strep throat or other infections of the mouth, blocking breathing passage way, foul order or taste in mouth.

  8. Main ways to perform tonsillectomy

  9. Electrocauterization • A device that burns tonsils and surrounding tissue in order to remove tonsils and cause less bleeding Use During Surgery This technique may be used in surgery to cut through soft tissue and completely remove the tonsils this is done so that the surgeon can gain access to the site and seal off blood vessels that are bleeding during surgery.

  10. Harmonic Scalpel • Uses hot ultrasonic energy to vibrate a special blade. The blade cuts tonsil tissues and stops bleeding. Used during surgery: This action cuts tissue with a fraction of the heat and trauma as compared to electrical cutting currents. The intense vibration also causes the blood in the immediate area, so there is virtually no blood loss during the operation.

  11. Bipolar Radiofrequency Ablation • Uses radiofrequency energy to destroy tonsil tissue Used during surgery: As the energy is transferred to the tissue, ionic dissociation occurs. This mechanism can be used to remove all or only part of the tonsil. This causes removal of tissue with a thermal effect of 45-85 C°. The advantages of this technique are less pain, faster healing, and less post operative care.

  12. Data:

  13. Conclusion: • Coblation tonsillectomy results in decreased postoperative pain compared to electrocautery and Harmonic tonsillectomy. This is based on pain scores analysis and on faster return to normal diet. • patients undergoing cold steel tonsillectomy have less pain than patients undergoing electrocautery. • The Harmonic Scalpel tonsillectomy offers advantages of early return to diet

  14. Thank you to Dr. Miller for being my mentor and taking the time to teach me and for helping me with all my ism assignments. • Mrs. Click and Dr. Rhodes for being amazing teachers and giving me this amazing opportunity • My evaluators for taking the time out of their day to grade this • My mom for encouraging me to do this

  15. Citations • Ahmed, A., I. Aliyu, and E. Kolo. "Indications for Tonsillectomy and Adenoidectomy: Our Experience." Nigerian Journal of Clinical Practice 17.1 (2014): 90. Academic OneFile. Web. 10 Apr. 2014. http://go.galegroup.com/ps/i.do?id=GALE|A354977565&v=2.1&u=leag77573&it=r&p=AONE&sw=w&asid=77b916f5648722a546d8467390aa3663 • Fallon, L. Fleming. "Tonsillectomy." The Gale Encyclopedia of Surgery. Ed. Anthony J. Senagore. Vol. 3. Detroit: Gale, 2004. 1423-425. Gale Virtual Reference Library. Web. 10 Apr. 2014. <http://go.galegroup.com/ps/i.do?id=GALE|CX3406200448&v=2.1&u=leag77573&it=r&p=GVRL&sw=w&asid=751d1777e8a99015105e082f3317e3d9>. • Ibekwe, Titus, Godwin Obasikene, and EkengOffiong. "Tonsillectomy: Vasoconstrictive Hydrolytic Cold Dissection Method." African Journal of Paediatric Surgery 10.2 (2013): 150. Academic OneFile. Web. 4 Apr. 2014. <http://go.galegroup.com/ps/i.do?id=GALE|A340351123&v=2.1&u=leag77573&it=r&p=AONE&sw=w&asid=38b7a665eda08d43338f3d63aca6e0e7>. • Skolnik, Neil, and Jennifer Thuener. "Tonsillectomy in Children." Family Practice News 1 Aug. 2011: 98. Academic OneFile. Web. 6 Apr. 2014. <http://go.galegroup.com/ps/i.do?id=GALE|A266941036&v=2.1&u=leag77573&it=r&p=AONE&sw=w&asid=2c0631a9e4b68b8a306b77d70279e5e3>. • Chang, Christopher Y., and Richard Thrasher. "CoblationCryptolysis to Treat Tonsil Stones: A Retrospective Case Series." Ear, Nose and Throat Journal June 2012: 238. Academic OneFile. Web. 10 Apr. 2014. <http://go.galegroup.com/ps/i.do?id=GALE|A294894492&v=2.1&u=leag77573&it=r&p=AONE&sw=w&asid=f04a5e3d28b33588dd4930e29d46d876>. • Ali, Naeem Sultan, Dr, and MubasherIkram, Dr. "Harmonic Scalpel versus Electrocautery Tonsillectomy: A Comparative Study in Adult Patients." Harmonic Scalpel versus Electrocautery Tonsillectomy: A Comparative Study in Adult Patients. N.p., n.d. Web. 04 May 2014.

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