Pediatric Tonsillotomy with the Radiofrequency Technique: Less Morbidity and Pain

Abstract

RF appears to be a safe and reliable method for tonsil surgery with much less postoperative morbidity than regular TE.

Tonsillotomy: it's time to clarify the facts

“…Unfortunately, the surgical technique of ''regular tonsillectomy'' was not described, but it can be assumed that it was cold steel TE according to other papers by the same author. The significant better pain scoring within the first 24 postoperative hours and week were confirmed in another study that followed [22].…”

“…While operation time was not stated for seven Class I procedures, one author stated that the procedure took ''less than tonsillectomy 0 s about 2.5 min'' [29]. Three authors measured operation times between 21 and 28 min on average [11,22,24] and only Densert et al [12] completed the procedure within 3-4 min.…”

“…Concerning Class I techniques, only Hultcrantz and Korkmaz addressed the issue and collected amounts of 11, 17.7, and 44.2 ml on average, respectively [11,22,24].…”

“…In Class I procedures, the follow-up was for the longest B1 week [27], B2 weeks [10,22] [33,49], respectively. The follow-up was not obtainable from one study [51].…”

“…Hultcrantz et al [11] relied on that technique but later injected an amount of only 2-3 ml of the same agent [22]. Derkay et al [47] injected 10 ml of the same agent into both anterior facial pillars and Passavant 0 s ridge before and into the posterior pillar and the tongue base after SIPT with a microdebrider.…”