Radiofrequency Surgery of Tonsils

Authors: Z. Balatková 1;  J. Plzák 1,2,3;  J. Astl 1;  P. Laštůvka 1;  J. Betka 1
Authors‘ workplace: Klinika otorinolaryngologie a chirurgie hlavy a krku 1. LF UK a FNM, Praha Katedra otorinolaryngologie IPVZ ;  přednosta prof. MUDr. J. Betka., DrSc. Anatomický ústav 1. LF UK, Praha 1;  přednosta prof. MUDr. M. Grim, DrSc. Centrum buněčné terapie a tkáňových náhrad 2. LF UK, Praha 2;  vedoucí prof. MUDr. E. Syková, DrSc. 3
Published in: Otorinolaryngol Foniatr, 58, 2009, No. 4, pp. 228-231.
Category: Original Article


Radiofrequency surgery is one of popular surgical methods that are used for the treatment of hypertrophy of the palatal tonsils. Tonsillar capsule and partially also lymphoid tissue is preserved during the surgery.

We treated 31 patients (7 males and 24 females; median age 25.6 years) for tonsillar hypertrophy from December 2005 until December 2008. They underwent radiofrequency surgery of the tonsils under local anesthesia. For objectification of the effect 3D sonography volume measurement was performed before and two months after surgery. General health, pain, and feeding status were monitored by questionnaire postoperatively.

The average volume reduction of the tonsil in all treated patients was 33.4%. There were observed low deterioration of general health, pain, and feeding status.

Radiofrequency surgery under local anesthesia is effective, safe and well tolerated operative technique in treatment of the palatine tonsils hypertrophy in adults.

Key words:
radiofrequency surgery, palatine tonsils, tonsillar hypertrophy.


1. Bäck, L, Paloheimo, M, Ylikoski, J.: Traditional tonsillectomy compared with bipolar radiofrequency thermal ablation tonsillectomy in adults: a pilot study. Arch. Otolaryngol. Head Neck Surg., 127, 2001, s. 1106-1112.

2. Celenk, F., Bayazit, Y. A., Yilmaz, M., Kemaloglu, Y. K., Uygur, K., Ceylan, A., Korkuyu, E.: Tonsillar regrowth following partial tonsillectomy with radiofrequency. Int. J. Pediatr. Otorhinolaryngol., 72, 2008, s. 19-22.

3. Coticchia, J. M., Yun, R. D., Nelson, L., Koempel, J.: Temperature-controlled radiofrequency treatment of tonsillar hypertrophy for reduction of upper airway obstruction in pediatric patients. Arch. Otolaryngol. Head Neck Surg., 132, 2006, s. 425-430.

4. Friedman, M., LoSavio, P., Ibrahim, H., Ramakrishnan, V.: Radiofrequency tonsil reduction: safety, morbidity, and efficacy. Laryngoscope, 113, 2003, s. 882-887.

5. Pfaar, O., Spielhaupter, M., Schirkowski, A., Wrede, H., Mösges, R., Hörmann, K., Klimek, L.: Treatment of hypertrophic palatine tonsils using bipolar radiofrequency-induced thermoterapy (RFITT). Acta Otolaryngol., 127, 2007, s. 1176-1181.

6. Plzák, J., Zábrodský, M., Kastner, J., Klozar, J., Betka, J.: Uvulopalatofaryngoplastika kombinovaná s radiofrekvenční termoterapií kořene jazyka v léčbě obstrukčního syndromu spánkové apnoe. Otorinolaryng. a Foniat. /Prague/, 58, 2009, s. 140-143.

7. Příhodová, P., Kraus, J., Plzák, J.: Radiofrekvenčně indukovaná termoterapie tonzil u dětí. Otorinolaryng. a Foniat. /Prague/, 58, 2009, s. 83-88.

8. Ragab, S. M.: Bipolar radiofrequency dissection tonsillectomy: a prospective randomized trial. Otolaryngol. Head Neck Surg., 133, 2005, s. 961-965.

9. Reichel, O., Mayr, D., Winterhoff, J., de la Chaux, R., Hagedorn, H., Berghaus, A.: Tonsillotomy or tonsillectomy?--a prospective study comparing histological and immunological findings in recurrent tonsillitis and tonsillar hyperplasia. Eur Arch. Otorhinolaryngol, 264, 2007, s. 277-284.

Audiology Paediatric ENT ENT (Otorhinolaryngology)
Forgotten password

Don‘t have an account?  Create new account

Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.


Don‘t have an account?  Create new account