Don R. Jaffe, M.D., an otolaryngologist practicing at three Massachusetts hospitals, was dissatisfied with the collateral tissue damage inflicted by cautery and laser modalities. He put Microline Surgical's ENTceps™ to use in his practice and found that the device enabled him to perform tonsillectomies with greater safety, precision and control, significantly reducing post-operative pain and bleeding.

Otolaryngologist Don R. Jaffe, M.D. has been performing tonsillectomies for nearly 40 years. In that time, he has used new technologies for tissue sealing and cutting as they've emerged but his patients still suffered from the typical post-operative complications that result from the procedure.

"With cautery, I'm able to seal blood vessels but patients feel pretty miserable for 7 to 10 days after surgery," said Dr. Jaffe. "Laser isn't as effective at sealing vessels and while patients might feel less pain for one or two days post-operatively, the pain then increases to the point where it is just as bad as with cautery. The problem is that both of these technologies burn the tissue, leaving behind damage that extends several millimeters beyond the tonsil bed."

In early 2011, he met with a representative from Starion Instruments and learned about ENTceps, a bayonet-style forceps specifically designed for procedures where fine precision, soft tissue sealing and dividing is required, such as tonsillectomy, parotidectomy, thyroidectomy and uvulopalatopharyngoplasty. Upon putting ENTceps to the test in his practice, he was immediately impressed by the results.

"With ENTceps, I can perform tonsillectomies in the same way that I did with the cautery, but in the end there is nice, normal looking tissue left behind rather than a charred field. The anatomical field is perfect," said Dr. Jaffe. "I've also been impressed by the blood control. In the time that I've been using ENTceps, I haven't had a single post-operative bleed."

Unlike conventional devices that use monopolar, bipolar or ultrasonic energy as modes of operation, ENTceps features Starion's patented tissue welding technology, which employs only direct heat and pressure to quickly and delicately seal and divide soft tissue, minimizing collateral tissue damage. According to Dr. Jaffe, ENTceps' safety, precision and control have had a direct benefit to his patients.

"Because there is less tissue damage and therefore less pain, they can eat and drink sooner," said Dr. Jaffe. "As a result, they've all recuperated much faster - two to three days for the kids and some have been back to normal within 24 hours."

He also notes that ENTceps enables him to perform tonsillectomies in a safer and more efficient manner - in about half the time as other techniques.

"I can perform tonsillectomies safer and faster with ENTceps because I can clearly see the tissue planes and know that I'm not taking out any muscle along with the tonsil tissue. With a hot suction cautery, I don't have that guarantee," said Dr. Jaffe. "Plus I don't have to worry about the grounding problems experienced with cautery, where if a patient forgets to tell me that he or she has a belly button ring or some other piercing, they can suffer burns from the electrical current."

He now performs tonsillectomies exclusively with ENTceps. Because of the benefits that it provides to his patients, he indicates that he plans to use ENTceps in other procedures as well, including neck dissection and parotidectomy.

"Patients have been much happier with their results from ENTceps tonsillectomies versus other modalities, which makes my job a lot easier," said Dr. Jaffe. "When I use ENTceps, I tell the patient that I'm performing the same procedure that I've performed for nearly 40 years but with a new tool. I then ask him or her to report back on when they noticed post-operative pain diminishing and how soon they can return to normal activities. So far, I've received positive feedback on all of my ENTceps cases."