KTP-532 laser tonsillectomy – a potential day-case procedure?

Kaluskar, S. K.

doi:10.1017/s0022215100133183

Cited by 6 publications

(5 citation statements)

References 4 publications

(2 reference statements)

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“…Of the published data, Strunk and Nichols 4 had 83 patients recruited in the trial but, of these, only 70 tonsils were removed with KTP laser (24 patients had bilateral laser, and 22 patients had laser used on one side only). Kulaskar 3 had a total of 576 adults and children receiving KTP laser tonsillectomies, but the subjects were not randomized. Our study is the largest randomized controlled trial to date ( n = 151).…”

Section: Discussionmentioning

confidence: 99%

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A prospective double-blind randomized controlled trial comparing the suitability of KTP laser tonsillectomy with conventional dissection tonsillectomy for day case surgery

Kothari¹,

Patel²,

Brown³

et al. 2002

Clin Otolaryngol

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Tonsillectomy using a KTP laser has been performed increasingly but is not a routinely practised technique in the UK. In the USA, tonsillectomy is often performed as a day case procedure but, here in the UK, it is still standard practice to admit patients for overnight stay. We present the largest prospective double-blind randomized controlled trial to date (151 patients) comparing KTP laser with standard dissection tonsillectomy and assess the suitability of both procedures for day case surgery. We found that there was significantly less peroperative haemorrhage if tonsillectomy was performed using the KTP laser, but it did cause more postoperative pain, more depression in mood and a higher rate of both reactionary and secondary haemorrhage, which was not significant when compared with conventional dissection. There was no difference in operating time, and over 40% of patients in each group needed overnight admission. We conclude that KTP laser tonsillectomy offers no benefit apart from less intraoperative bleeding over standard dissection tonsillectomy. Discharge from hospital after tonsillectomy was found to be unpredictable. Tonsillectomy is therefore an unsuitable procedure for planned surgery through a day unit, but approximately 58% of patients could be discharged on the same day from an extended day surgery unit, and the rest have one night in hospital.

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Section: Discussionmentioning

confidence: 99%

“…Auf et al 2 . concluded that the usefulness of the KTP laser in tonsillectomy remains questionable, whereas Kulaskar 3 suggested that the KTP laser is an ideal tool for tonsillectomy.…”

mentioning

confidence: 99%

A prospective double-blind randomized controlled trial comparing the suitability of KTP laser tonsillectomy with conventional dissection tonsillectomy for day case surgery

Kothari¹,

Patel²,

Brown³

et al. 2002

Clin Otolaryngol

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“…The potassium-titanyl-phosphate (‘KTP’) 532 is an easily manipulated laser that can be delivered via an Endostat ™ fibre. The benefits of using potassium-titanyl-phosphate laser in tonsillectomy operation have been questionable in some studies, 15 but others have reported it to be a good technique 2 , 16 . The diode laser is also easily manipulated and can be delivered by an Endostat fibre.…”

Section: Introductionmentioning

confidence: 99%

A randomised controlled trial of coblation, diode laser and cold dissection in paediatric tonsillectomy

et al. 2015

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“…Potassium titanyl phosphate (KTP) laser is an easily manipulated type of laser which can be delivered by an Endostat™ fibre. Some authors have questioned the benefits of using KTP laser in tonsillectomy procedures, 2 while others consider it an ideal technique 3 …”

Section: Introductionmentioning

confidence: 99%

Pilot comparison between potassium titanyl phosphate laser and bipolar radiofrequency in paediatric tonsillectomy

Hegazy

Albirmawy

Kaka³

et al. 2008

J. Laryngol. Otol.

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Both the potassium titanyl phosphate and the bipolar radiofrequency techniques were safe and easy to use for tonsillectomy, with reduced operative time, blood loss and complication rates and better post-operative general patient condition. Potassium titanyl phosphate laser resulted in reduced operative bleeding and immediate post-operative pain, compared with the bipolar radiofrequency technique. However, potassium titanyl phosphate laser required slightly more operative time and caused more late post-operative pain than the bipolar radiofrequency technique. The low rate of recorded complications showed that both techniques cause little damage to the tonsillar bed during dissection, thus minimising complications.

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KTP-532 laser tonsillectomy – a potential day-case procedure?

Cited by 6 publications

References 4 publications

A prospective double-blind randomized controlled trial comparing the suitability of KTP laser tonsillectomy with conventional dissection tonsillectomy for day case surgery

A prospective double-blind randomized controlled trial comparing the suitability of KTP laser tonsillectomy with conventional dissection tonsillectomy for day case surgery

A randomised controlled trial of coblation, diode laser and cold dissection in paediatric tonsillectomy

Pilot comparison between potassium titanyl phosphate laser and bipolar radiofrequency in paediatric tonsillectomy

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