Laser-tonsillotomy for treatment of obstructive tonsillar hyperplasia in early childhood: A retrospective review

Unkel, Claus; Lehnerdt, Goetz; Schmitz, Klaus; Jahnke, K.

doi:10.1016/j.ijporl.2005.08.017

Cited by 34 publications

(29 citation statements)

References 18 publications

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“…monopolar radiofrequency tonsillotomy (RF-TT) [5,14]. Unkel and Jahnke [3] found in a 10-year follow-up study, no evidence of inflammation or scar formations, but open and deep crypts after laser tonsillotomy in early childhood. They confirmed the longterm elimination of obstructive symptoms in children due to tonsillar hyperplasia after tonsillotomy.…”

Section: Introductionmentioning

confidence: 99%

1-year follow-up after radiofrequency tonsillotomy and laser tonsillotomy in children: a prospective, double-blind, clinical study

Stelter

Ihrler

Siedek

et al. 2011

Eur Arch Otorhinolaryngol

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In the last decade, tonsillotomy has come into vogue again, whereas the number of tonsillectomies is decreasing rapidly. In a previous study, the tonsillotomy with laser or radiofrequency therapy proved as a safe and effective procedure with minimal pain and hemorrhage. This follow-up study determines which method is more effective with respect to long-term outcome, recurrence of tonsillar hyperplasia and recurrence of tonsillitis. A prospective, randomised, double-blinded controlled clinical study was conducted at the Department of Otorhinolaryngology of the Ludwig-Maximilians-University, Munich, Germany. Twenty-six children with tonsillar hypertrophy were included. Tonsillotomy was performed on one side with monopolar radiofrequency and on the other side with a carbon dioxide laser. Exactly 1 year after the procedure, all 26 patients were documented by digital photography to define a possible recurrence of tonsillar hyperplasia. All parents were asked for occurring tonsillitis and fulfilled the Glasgow Children's Benefit Inventory (GCBI) for health-related quality of life after surgical procedures. In seven children, a slightly visible recurrence of the tonsillar hyperplasia occurred, without any symptoms or correlation to the different methods and sides. One child with recurrent tonsillitis and hyperplasia had to be tonsillectomized 8 months after the initial tonsillotomy procedure. The specimen showed open crypts with bacterial infection in the deep. The GCBI resulted in highly significant benefits of the surgery in all categories and subcategories. In conclusion, both methods, the laser tonsillotomy and the radiofrequency method, were equal concerning the effectiveness and safety after 1 year. Further investigations have to aim at the long-term outcome after tonsillotomy in patients with recurrent infections.

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Section: Introductionmentioning

confidence: 99%

1-year follow-up after radiofrequency tonsillotomy and laser tonsillotomy in children: a prospective, double-blind, clinical study

Stelter

Ihrler

Siedek

et al. 2011

Eur Arch Otorhinolaryngol

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“…The reduced intra operative bleeding by CO 2 Laser assisted tonsillectomy technique is achieved by cutting and simultaneous haemostasis by sealing the blood vessel lumen by virtue of tissue heating. (19) In addition, the mean operative time was generally reduced with the CO 2 laser group that the reduced operative time is an important for increasing performed operations numbers and reduces the unnecessary hospitalization stay and increase patients turn over.…”

Section: Discussionmentioning

confidence: 91%

Postoperative Pain After Tonsillectomy; Comparison Between CO2 Laser Versus Conventional Dissection Tonsillectomy

Alharbi¹

2015

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Abstract:Background: Postoperative pain after tonsillectomy is a great problem that the ideal tonsillectomy operation should have little or no morbidity or mortality with excellent outcome. Aim of the study:To compare the outcome of postoperative pain with two different methods of tonsillectomy, conventional dissection Tonsillectomy versus CO 2 laser assisted tonsillectomy procedure. Method: Randomized clinical trial was done on 126 adult patients with chronic recurrent tonsillitis that underwent tonsillectomies operation divided into two groups. Group A (n=63) subjected to Conventional dissection tonsillectomy .Group B (n=63) subjected to CO 2 Laser assisted tonsillectomy. Results: There was no statistically significant difference between patients in both groups with regard to mean VAS for pain starting from day 0 to day 10after initiation of treatment .Mean VAS for post to nsillec to my pain in both groups revealed that at the end of day 10, pain was completely absent in both groups. Conclusion: Conventional dissection Tonsillectomy is almost similar to CO 2 Laser assisted tonsillectomy operation in post operative pain and patient's quality of life but Laser-assisted tonsillectomy has shown to have shortened in the operative time with reduces the blood loss.

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“…Nach Einführung des CO 2 -Lasers in die Medizin haben die HNO-Kliniken des Universitätsklinikums Benjamin Franklin in Berlin [6,18,19] (seit Ende der 1980er Jahre) und der Universität Duisburg/Essen [12,24,25] (seit 1993) die CO 2 -Laser-Tonsillotomie (LTT) in Deutschland wieder wissenschaftlich etabliert.…”

Section: Originalien Hintergrundunclassified

“…Erste Langzeitstudien, v. a. aus dem Berliner Universitätsklinikum Benjamin Franklin [6] und Skandinavien [8], aber auch aus der eigenen Klinik [24,25], konnten nun gute Langzeitverläufe bei strenger Indikationsstellung mit dem CO 2 -Laser vermelden. Zudem konnte in histologischen Untersuchungen an den Resttonsillen von im Nachbeobachtungszeitraum tonsillektomierten Kindern keine vermehrte Vernarbungstendenz im Tonsillengewebe nachgewiesen werden [6,24].…”

Section: Diskussionunclassified

CO2-Laser-Tonsillotomie

Lehnerdt

Unkel

Láng

et al. 2008

Monatsschr Kinderheilkd

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Laser-tonsillotomy for treatment of obstructive tonsillar hyperplasia in early childhood: A retrospective review

Cited by 34 publications

References 18 publications

1-year follow-up after radiofrequency tonsillotomy and laser tonsillotomy in children: a prospective, double-blind, clinical study

1-year follow-up after radiofrequency tonsillotomy and laser tonsillotomy in children: a prospective, double-blind, clinical study

Postoperative Pain After Tonsillectomy; Comparison Between CO2 Laser Versus Conventional Dissection Tonsillectomy

CO2-Laser-Tonsillotomie

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