28 results match your criteria ablation tonsillotomy

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Monopolar electrocautery tip vs plasma ablation in tonsillotomy: A randomized case-control study comparing outcomes in pediatric population.

Int J Pediatr Otorhinolaryngol 2021 Apr 20;143:110655. Epub 2021 Feb 20.

Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon; Department of Otolaryngology Head and Neck Surgery, Eye and Ear International Hospital, Naccache, Lebanon. Electronic address:

Background: The objective of this study was to compare the low-priced monopolar electrocautery to the high-priced, worldwide used, plasma ablation in tonsillotomy among children aged between three and twelve years, suffering from obstructive breathing disorders (OBD), with respect to post-operative pain, bleeding and related morbidities.

Methods: A randomized case-control study was conducted in the Eye and Ear Hospital International- Lebanon. 103 children aged between three and twelve years suffering from OBD secondary to tonsillar hypertrophy were randomly assigned into two groups. Read More

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Paediatric patient bleeding and pain outcomes following subtotal (tonsillotomy) and total tonsillectomy: a 10-year consecutive, single surgeon series.

ANZ J Surg 2020 12 23;90(12):2532-2536. Epub 2020 Sep 23.

College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.

Background: Subtotal tonsil surgery (tonsillotomy) remains a controversial procedure. We aimed to document bleeding rates and return to normal activity for total versus subtotal tonsil surgery in the paediatric population.

Methods: A 10-year cohort of 608 children from a single-surgeon series was analysed. Read More

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December 2020

The effects of radiofrequency on the bacteriological and histological characteristics of tonsils in patients with chronic and persistent tonsillitis.

Am J Otolaryngol 2020 Nov - Dec;41(6):102657. Epub 2020 Aug 13.

Otorhinolaryngology Research Center, Department of Otolaryngology and Head and Neck Surgery, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.

Objectives: Tonsillotomy with radiofrequency (RF) is one of the newest treatments for chronic tonsillitis, but the mechanism of RF effects and complications are still pending. The aim of this study was to evaluate the effects of RF on the histological and bacteriological characteristics of the tonsils (Case-control study).

Materials And Methods: In fifty-two patients with chronic tonsillitis in 2017-2018, immediately after tonsillectomy, the tonsils were divided into 2sections; one sample treated with RF, and the other one considered as control, without intervention. Read More

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December 2020

Practice, complications and outcome in Swedish tonsil surgery 2009-2018. An observational longitudinal national cohort study.

Acta Otolaryngol 2020 Jul 21;140(7):589-596. Epub 2020 May 21.

Department of Otorhinolaryngology, Region Jönköping County, Jönköping, Sweden.

To assure a high quality in tonsil surgery, it is necessary to monitor trends in clinical practice, complications and outcome. To describe rates and trends regarding indications, methods, techniques, complications, and outcome of tonsil surgery. 98 979 surgeries from the National Tonsil Surgery Register 2009-2018. Read More

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Update review of pain control methods of tonsil surgery.

Auris Nasus Larynx 2020 Feb 28;47(1):42-47. Epub 2019 Oct 28.

Department of Otorhinolaryngology-Head and Neck Surgery, Incheon St. Mary's Hospital, College of medicine, The Catholic University of Korea, #56, Dongsuro, Bupyung-gu, Seoul 21431, Republic of Korea. Electronic address:

Pain after tonsil surgery is troublesome because it causes discomfort. In addition, handling patients with postoperative pain is challenging to otolaryngologists. Many laboratory studies have assessed the use of analgesics and surgical techniques to discover methods for effective control of postoperative pain associated with tonsil surgery. Read More

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February 2020

Comparative intraindividual ablative tissue effects of diode laser 980 nm versus radiofrequency in tonsillar hypertrophy management.

Acta Otorhinolaryngol Ital 2019 Jun 31;39(3):150-155. Epub 2019 Jan 31.

Faculty of Medicine, Department of Pathology, Cairo University, Egypt.

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Coblation versus other surgical techniques for tonsillectomy.

Cochrane Database Syst Rev 2017 08 22;8:CD004619. Epub 2017 Aug 22.

Department of Otolaryngology - Head and Neck Surgery, Taubman Center, 1500 E Medical Center Drive, Ann Arbor, Michigan, USA.

Background: Tonsillectomy is a very common operation and is performed using various surgical methods. Coblation is a popular method because it purportedly causes less pain than other surgical methods. However, the superiority of coblation is unproven. Read More

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Coblation tonsillectomy: a systematic review and descriptive analysis.

Eur Arch Otorhinolaryngol 2017 Jun 18;274(6):2637-2647. Epub 2017 Mar 18.

Queen Elizabeth Hospital Birmingham, Edgbaston, Birmingham, B15 2TH, UK.

Coblation is one of the more recent techniques for tonsillectomy; however, it remains unclear whether it exhibits any benefit or increased risk when compared to other techniques. This review provides an updated assessment of coblation tonsillectomy and how it compares to other tonsillectomy techniques. Systematic review and descriptive analysis of published literature. Read More

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Coblation intracapsular tonsillectomy (tonsillotomy) in children: A prospective study of 500 consecutive cases with long-term follow-up.

Clin Otolaryngol 2017 Dec 19;42(6):1211-1217. Epub 2017 Mar 19.

Department of Paediatric Otolaryngology, Evelina London Children's Hospital, Guy's and St Thomas' NHS Foundation Trust, London, UK.

Objectives: Intracapsular tonsillectomy (tonsillotomy) has been used internationally, mainly in the management of obstructive sleep apnoea, rather than recurrent tonsillitis, with few published data evaluating its use for this latter indication. We present long-term prospective data from 500 paediatric cases undergoing Coblation intracapsular tonsillectomy, for both obstructive and infective indications.

Design: Prospective case series, March 2013-January 2016, all with completed follow-up. Read More

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December 2017

[An update on tonsillotomy studies].

HNO 2017 Jan;65(1):30-40

Klinik für HNO-Krankheiten, Plastische Kopf- und Hals-Chirurgie, Allergologie, Kliniken Maria Hilf, Sandradstr. 43, 41061, Mönchengladbach, Deutschland.

Background: Tonsillotomy procedures (TT) are being increasingly performed owing to the low postoperative morbidity compared with extracapsular tonsillectomy (TE). Patients may experience regrowth of tonsillar tissue or tonsillitis in the tonsillar remnants eventually resulting in a secondary tonsillectomy.

Objectives: A review of the literature was undertaken to evaluate the current indications and contraindications, surgical instruments, risks of surgery, and the need for further research related to TT. Read More

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January 2017

Surgical treatment for childhood obstructive sleep apnoea: Cold-knife tonsillar dissection versus bipolar radiofrequency thermal ablation.

Acta Otorrinolaringol Esp 2016 Sep-Oct;67(5):261-7. Epub 2016 Mar 15.

Unidad de Bioestadística, Departamento de Fisioterapia, Universitat Internacional de Catalunya, Sant Cugat del Vallès (Barcelona), España.

Introduction And Objective: Adenotonsillectomy for treatment of childhood obstructive sleep apnoea is effective. The uncomfortable postoperative period and possible complications have significantly increased the use of partial techniques, seeking to improve these aspects while achieving the same results in resolving sleep apnoea. The aim was to present the experience with 2 consecutive groups of patients, comparing total tonsillectomy to bipolar radiofrequency ablation (RFA). Read More

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How does multilevel upper airway surgery influence the lives of dogs with severe brachycephaly? Results of a structured pre- and postoperative owner questionnaire.

Vet J 2016 Apr 1;210:39-45. Epub 2016 Feb 1.

Clinical Department of Small Animals, Ear, Nose, and Throat Unit, University of Leipzig, An den Tierkliniken 23, D-04103 Leipzig, Germany. Electronic address:

Brachycephalic airway syndrome in dogs is typified by a variety of anatomical abnormalities causing a diverse spectrum of clinical signs of varying intensity. This variability makes the assessment of the surgical outcome after upper airway surgery difficult. Using a structured questionnaire, the present study investigated the dog owner-perceived severity and frequency of a broad spectrum of welfare-relevant impairments 2 weeks before and 6 months after brachycephalic dogs underwent a recently developed multi-level upper airway surgery. Read More

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Our experience. Coblation® intracapsular tonsillectomy (tonsillotomy) in children: a prospective study of 100 consecutive cases.

Clin Otolaryngol 2014 Oct;39(5):301-7

Department of Paediatric Otolaryngology, Evelina London Children's Hospital, Guy's and St Thomas' NHS Foundation Trust, London, UK.

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October 2014

Tonsillotomy: facts and fiction.

Eur Arch Otorhinolaryngol 2015 Apr 3;272(4):949-969. Epub 2014 Apr 3.

Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Giessen and Marburg, Campus Marburg, Marburg, Germany.

In contrast to total or extracapsular tonsillectomy (TE), subtotal/intracapsular/partial tonsillectomy (SIPT) or tonsillotomy (TT) is associated with significant less postoperative morbidity. It has been stated that patients older than 8 years of age or with a history of tonsillitis should be excluded from SIPT/TT. Some health insurance companies mandate utilization of particular surgical instruments. Read More

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Radiofrequency tonsillotomy in Sweden 2009-2012.

Eur Arch Otorhinolaryngol 2014 Jun 24;271(6):1823-7. Epub 2013 Dec 24.

Ear-, Nose- and Throat Clinic, Ryhov County Hospital, Jönköping, Sweden,

The Swedish National Registry for Tonsil Surgery has been operational since 1997. All ENT clinics in Sweden are encouraged to submit data for all patients scheduled for tonsil surgery. Preoperatively, age, gender and indication are recorded. Read More

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Hemorrhage after tonsillectomy: does the surgical technique really matter?

ORL J Otorhinolaryngol Relat Spec 2013 22;75(3):123-32. Epub 2013 Aug 22.

Division of Pediatric Otolaryngology, University Children's Hospital, Zurich, Switzerland.

A thorough review of the publications on surgical techniques used for tonsillectomy is provided, emphasizing randomized studies and meta-analysis. In the assessment of the data it is important to clearly define and categorize the types of posttonsillectomy bleeding (PTB), as well as the various factors that have been associated with increased PTB. In recent audits of a large number of tonsillectomies, the PTB rates seem to concur: 1% early and 2. Read More

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Intraindividual comparison of 1,470 nm diode laser versus carbon dioxide laser for tonsillotomy: a prospective, randomized, double blind, controlled feasibility trial.

Lasers Surg Med 2012 Sep 26;44(7):558-63. Epub 2012 Jul 26.

Department of Otorhinolaryngology, Head and Neck Surgery, University of Munich, Marchioninistr. 15, 81377 Munich, Germany.

Introduction: The need for reduction of post-tonsillectomy hemorrhage has led to promotion of tonsillotomy techniques for tonsil tissue reduction in obstructive tonsillar hypertrophy. This trial compares ablative tissue effects using 1,470 nm diode laser and carbon dioxide laser for tonsillotomy in an intraindividual design.

Methods: 21 children aged 3-13 years (mean age 6. Read More

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September 2012

Comparing postoperative quality of life in children after microdebrider intracapsular tonsillotomy and tonsillectomy.

Auris Nasus Larynx 2012 Aug 25;39(4):407-10. Epub 2011 Nov 25.

Otolaryngology Department, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Objective: To evaluate postoperative quality of life in patients undergoing microdebrider intracapsular tonsillotomy and adenoidectomy (PITA) in comparison with traditional adenotonsillectomy (AT) and to assess PITA's efficacy in solving upper-airway obstructive symptoms.

Methods: 29 children with adenotonsillar hyperplasia referred for AT were included. Patients were divided into two groups: Group 1 (underwent PITA) included 14 children (age 5. Read More

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Comparison of radiofrequency ablation, laser and coblator techniques in reduction of tonsil size.

Acta Otolaryngol 2011 Jul 26;131(7):750-6. Epub 2011 Apr 26.

Department of Otorhinolaryngology, Kecioren Training and Research Hospital, Ankara, Turkey.

Conclusions: Coblation was seen to be a much safer method for tonsil reduction surgery with less morbidity and with a higher efficacy in early and long-term follow-up.

Objective: The objective was to compare the efficacy, morbidity and safety of three techniques for reduction of tonsil size in tonsillar hypertrophy in children.

Methods: This was a prospective, randomized clinical study. Read More

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Dexamethasone administration and postoperative bleeding risk in children undergoing tonsillectomy.

Arch Otolaryngol Head Neck Surg 2010 Aug;136(8):766-72

Department of Otolaryngology-Head and Neck Surgery, Naval Medical Center San Diego, 34800 Bob Wilson Dr, San Diego, CA 92134.

Objective: To assess whether administration of dexamethasone during tonsillectomy is associated with a dose-dependent increased rate of postoperative tonsillectomy hemorrhage.

Design: Retrospective review of 2788 children and adolescents who underwent tonsillectomy with or without adenoidectomy for sleep-disordered breathing or infectious tonsillitis and received perioperative dexamethasone between January 1, 2002, and March 3, 2009. Patients underwent 1 of 3 methods of tonsillectomy, including extracapsular electrosurgical tonsillectomy, extracapsular radiofrequency ablation tonsillectomy, or intracapsular microdebrider tonsillotomy. Read More

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Double-blind, randomised, controlled study of post-operative pain in children undergoing radiofrequency tonsillotomy versus laser tonsillotomy.

J Laryngol Otol 2010 Aug 12;124(8):880-5. Epub 2010 Apr 12.

Department of Otorhinolaryngology, Head and Neck Surgery, Grosshadern Medical Centre, Ludwig Maximilians University, Munich, Germany.

Introduction: In the last decade tonsillotomy has come into vogue again, whereas the number of tonsillectomies is decreasing rapidly. Currently, most tonsils are reduced by utilise electrosurgery, radiofrequency or carbon dioxide laser. However, it is not clear whether radiofrequency tonsillotomy is as effective as laser or other surgical techniques in respect of post-operative pain and haemorrhage. Read More

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Tonsillar regrowth following partial tonsillectomy with radiofrequency.

Int J Pediatr Otorhinolaryngol 2008 Jan 31;72(1):19-22. Epub 2007 Oct 31.

Department of Otolaryngology, Gazi University Faculty of Medicine, Konya yolu, Besevler, 06500 Cankaya, Ankara, Turkey.

Objectives: To assess regrowth potential of the tonsils following partial tonsillectomy performed by using radiofrequency.

Methods: Follow-up results of 42 children (aged from 1 to 10 years) who consecutively had partial tonsillectomy with radiofrequency due to obstructive sleep apnea or snoring were evaluated for regrowth of the tonsils.

Results: Regrowth of the remaining tonsillar tissue was observed in 7 of 42 patients (16. Read More

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January 2008

Treatment of hypertrophic palatine tonsils using bipolar radiofrequency-induced thermotherapy (RFITT.).

Acta Otolaryngol 2007 Nov;127(11):1176-81

Department of Otorhinolaryngology Mannheim, Ruprecht-Karls University Heidelberg, Mannheim, Germany.

Conclusion: Radiofrequency volume reduction of palatine tonsils is a gentle and safe treatment method in selected patients, which should carefully be considered as an alternative to tonsillectomy or tonsillotomy.

Objectives: The aim of this study was the evaluation of bipolar radiofrequency-induced thermotherapy (RFITT) compared to standard blunt dissection tonsillectomy (TE) for the volume reduction of palatine tonsils in chronic tonsillar hypertrophy.

Patients And Methods: A total of 137 patients (98 children) were treated in two groups in a prospective controlled, randomized clinical trial. Read More

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November 2007

Coblation versus other surgical techniques for tonsillectomy.

Authors:
M J Burton C Doree

Cochrane Database Syst Rev 2007 Jul 18(3):CD004619. Epub 2007 Jul 18.

Cochrane ENT Disorders Group, Department of Otolaryngology - Head and Neck Surgery, Level LG1, West Wing, John Radcliffe Hospital, Oxford, UK, OX3 9DU.

Background: Tonsillectomy is one of the most commonly performed surgical procedures. There are several operative methods currently in use, but the superiority of one over another has not been clearly demonstrated.

Objectives: To assess the effectiveness of coblation tonsillectomy compared with other surgical techniques in reducing morbidity. Read More

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Long-term improvement of quality of life as a result of tonsillotomy (with radiofrequency technique) and tonsillectomy in youths.

Laryngoscope 2007 Jul;117(7):1272-9

Division of Otorhinolaryngology, Department of Neuroscience and Locomotion, Faculty of Health Sciences, University of Linköping, Sweden.

Objective: This is a 1 year follow-up to compare the effects of partial tonsil resection using the radiofrequency technique (RF) tonsillotomy (TT) with total tonsillectomy (TE) (blunt dissection). Obstructive symptoms, tendency for infections, and health-related quality of life (HRQL) were studied and compared with the HRQL data from a normal population.

Method: The study group consisted of 74 patients (16-25 yr old) randomized to TT (n = 31) or TE (n = 43) with obstructive throat problems with or without recurrent tonsillitis. Read More

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Pediatric tonsillotomy with radiofrequency technique: long-term follow-up.

Laryngoscope 2006 Oct;116(10):1851-7

Division of Otorhinolaryngology, Department of Neuroscience and Locomotion, Faculty of Health Sciences, University of Linköping, Linköping, Sweden.

Objectives: Compare the effects of partial tonsil resection using a radiofrequency technique, tonsillotomy (TT), with total tonsillectomy (TE, blunt dissection) after 1 and 3 years. Compare frequency of relapse in snoring or infections and possible long-term changes in behavior among TT children with those in TE children.

Method: Ninety-two children (5-15 yr) randomized to TT (n = 49) or TE (n = 43) groups because of obstructive problems with or without recurrent tonsillitis. Read More

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October 2006

Radiofrequency excision versus monopolar electrosurgical excision for tonsillectomy.

Otolaryngol Head Neck Surg 2005 Jul;133(1):51-4

Department of Otorhinolaryngology-Head and Neck Surgery, Tripler Army Medical Center, HI 96859-5000, USA.

Objective: We previously compared radiofrequency (Evac) tonsillotomy with monopolar electrosurgical (Bovie) tonsillectomy and showed significantly less pain with the Evac. Tonsillotomy leaves a cuff of tonsil behind, the significance of which is unknown. We hypothesize that Evac tonsillectomy also is less painful than Bovie tonsillectomy. Read More

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Outpatient laser tonsillar ablation under local anaesthetic.

Eur Arch Otorhinolaryngol 2004 Nov 17;261(10):551-4. Epub 2003 Dec 17.

Department of Otorhinolaryngology and Head and Neck Surgery, Basildon Hospital, Basildon, Essex, UK.

Outpatient laser ablation of the palatine tonsils under local anaesthetic is an alternative technique to capsular tonsillectomy for recurrent tonsillitis under general anaesthetic. Laser tonsillotomy ablates up to 70% of the tonsillar tissue and is performed when patients choose not to have a conventional tonsillectomy, or are unfit for a general anaesthetic. The technique described here is an adaptation of Krespis' laser-assisted serial tonsillectomy (LAST) whereby only one sitting is required. Read More

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November 2004
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