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Overview of a new tonsillectomy device in adult and paediatric otolaryngology: a systematic and comprehensive review of the literature

Published online by Cambridge University Press:  02 April 2025

Kenny Do Open the ORCID record for Kenny Do [Opens in a new window] ,
Kurtis Young ,
Eric Kawana  and
Jo-Lawrence Bigcas
Kenny Do*
Affiliation:
Department of Otolaryngology – Head & Neck Surgery, Kirk Kerkorian School of Medicine at UNLV, University of Nevada, Las Vegas, NV, USA
Kurtis Young
Affiliation:
Department of Otolaryngology – Head & Neck Surgery, Kirk Kerkorian School of Medicine at UNLV, University of Nevada, Las Vegas, NV, USA
Eric Kawana
Affiliation:
Department of Otolaryngology – Head & Neck Surgery, Kirk Kerkorian School of Medicine at UNLV, University of Nevada, Las Vegas, NV, USA
Jo-Lawrence Bigcas
Affiliation:
Department of Otolaryngology – Head & Neck Surgery, Kirk Kerkorian School of Medicine at UNLV, University of Nevada, Las Vegas, NV, USA
*
Corresponding author: Kenny Do; Email: dok3@unlv.nevada.edu
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Abstract

Objectives

The BiZact device offers precise and versatile functionality for tonsillectomies. The objective of this study is to assess the efficacy and safety of the BiZact instrument for tonsillectomies.

Methods

The researchers used the PRISMA guidelines to retrieve relevant articles from PubMed, Embase and Web of Science. Eight articles were aggregated and examined for this systematic review.

Results

The BiZact device shortens operative time when compared to cold dissection and bipolar electrocautery, where no difference was found when compared to coblation. Intra-operative bleeding was decreased with BiZact tonsillectomy compared to cold dissection and electrocautery, although bleeding was slightly increased when compared to coblation.

Conclusion

The BiZact instrument is an alternative tonsillectomy device that may shorten surgical time as well as reduce intra-operative blood loss. More studies are needed to conduct a meta-analysis directly comparing surgical outcomes of the BiZact device to other techniques.

Keywords

TonsillectomyPalatine TonsilAdenoidsAdenoidectomyDeglutition DisordersElectrocoagulationElectrosurgeryRadiofrequency Ablation
Type
Review Article
Information
The Journal of Laryngology & Otology , First View , pp. 1 - 10
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED.

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