Infrared Lasers versus Classical Technique in Tonsillectomy


Authors: D. Slouka 1,2;  P. Poleník 2,3;  D. Šmíd 4;  O. Hes 2,5;  L. Boudová 2,5;  Y. Erfremová 6;  R. Kučera 7;  P. Hošek 8;  J. Slípka 1,2
Authors‘ workplace: ORL klinika Lékařské fakulty Univerzity Karlovy v Plzni 1;  Fakultní nemocnice v Plzni 2;  Stomatologická klinika Lékařské fakulty Univezity Karlovy v Plzni 3;  Chirurgická klinika Lékařské fakulty Univerzity Karlovy v Plzni 4;  Šiklův patologicko-anatomický ústav Lékařské fakulty Univerzity Karlovy v Plzni 5;  Katedra zdravotnických oborů a ochrany obyvatelstva, Fakulta biomedicínského inženýrství ČVUT v Praze 6;  Imunoanalytická laboratoř, FN a LF v Plzni, Univerzita Karlova, Praha 7;  Biomedicínské centrum Lékařské fakulty Univerzity Karlovy v Plzni 8
Published in: Otorinolaryng. a Foniat. /Prague/, 64, 2015, No. 4, pp. 196-200.
Category: Original Papers

Overview

Introduction:
Modern medicine uses a whole range of technically developed devices to reach mini invasiveness and to keep radicality of therapy. Our aim was to determine the benefit of laser medicine to mini invasiveness related to tonsillectomies and its comparison with classic tonsillectomy.

Material and methodology:
Until 2014, it was possible to work with ten laser systems at the ENT department of University hospital in Pilsen. In this study, Ho:YAG laser was compared with classic tonsillectomy and a new type of crystal laser (Er,Cr:YSGG). Patients were divided into two groups of ten respondents. Left-sided tonsillectomy was performed in a classic way. In case of right-sided tonsillectomy, it was realized by using tested devices. Peroperative bleeding, duration of operation as well as postoperative pain were evaluated in each patient (by each side separately). The width of irreversible tissue thermal damage was histologically verified.

Results:
Compared to classic tonsillectomy, the average duration of operation using Ho:YAG laser was shortened by two minutes. Regarding Er,Cr:YSGG laser, it was prolonged by 4.3 minutes. The considerable reduction of perioperative bleeding could be seen in case of Ho:YAG laser. Contrary classic tonsillectomy, postoperative pain was significantly stronger in case of using both lasers.

Conclusion:
Both lasers (Ho:YAG and Er,Cr:YSGG) offer a safe non-complicated method to perform tonsillectomy which is comparable with gold standard (classic tonsillectomy). But overall, it brings no essential benefits to the patient. .

Keywords:
mini invasiveness, tonsillectomy, laser


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Audiology Paediatric ENT ENT (Otorhinolaryngology)
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