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Tonsillectomy is mainly undertaken for sleep apnea and recurrent or chronic tonsillitis. [1] It is also carried out for peritonsillar abscess, periodic fever, aphthous stomatitis, pharyngitis and adenitis (PFAPA), guttate psoriasis, nasal airway obstruction, tonsil cancer and diphtheria carrier state.
The first involves surgery of the soft tissue (tonsillectomy, uvulopalatopharyngoplasty) and the second involves skeletal surgeries (maxillomandibular advancement). First, Phase 1 or soft tissue surgery is performed and after re-testing with a new sleep study, if there is residual sleep apnea, then Phase 2 surgery would consist of jaw surgery.
Coblation tonsillectomy is a surgical procedure in which the patient's tonsils are removed by destroying the surrounding tissues that attach them to the pharynx. [1] [2] It was first implemented in 2001. The word coblation is short for ‘controlled ablation’, which means a controlled procedure used to destroy soft tissue. [3]
Plasma coblation is a tonsillectomy procedure which involves the removal of tissue through radio frequency wavelengths. Coblation (derived from “Controlled ablation” meaning the removal of tissue in a controlled manner) techniques have been present since the 1950s and have been developed so that errors can be removed to achieve a surgical techniques that is free from both defects and ...
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Adenoidectomy is the surgical removal of the adenoid for reasons which include impaired breathing through the nose, chronic infections, or recurrent earaches. The effectiveness of removing the adenoids in children to improve recurrent nasal symptoms and/or nasal obstruction has not been well studied. [1]
A randomised controlled trial of tonsillectomy versus medical treatment (antibiotics and pain killers) in adults with frequent tonsillitis found that tonsillectomy was more effective and cost effective. It resulted in fewer days with sore throat. [41] [42] Children have had only a modest benefit from tonsillectomy for repeated cases of ...
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