Document Detail


Carbon-dioxide laser-assisted tonsil ablation for adults with chronic tonsillitis: a 6-month follow-up study.
MedLine Citation:
PMID:  12700916     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Sixty-six adult patients with a mean age of 44 years (range: 16-78) with chronic tonsillitis underwent laser-assisted tonsil ablation between January 1998 and January 2002. Instead of vaporization of the tonsil surface, extended serial tonsillectomy was performed, namely, vaporizing 80-90% of the palatine lymphoid tissue. Of the 66 patients, 49 (74%) underwent local anesthesia (LA group) and 17 (26%) general anesthesia (GA group). In the LA group, one surgical session sufficed for 40 patients (82%); two sessions were required for seven patients (14%) and three sessions for two patients (4%). Monopolar electrocautery was necessary to ensure hemostasis in two patients (3%). Median value results revealed a pain-intensity score of 4.5 (range: 0-10) for the GA group and 5 (range: 0-10) for the LA group. Pain lasted for 3 days (range: 0-15) in both groups (nonsignificant difference). A satisfaction score of 10 (range: 1-10) was recorded for the GA group and 8 (range: 1-10) for the LA group (P=0.029). The minimum follow-up was 6 months. Forty of the 49 LA group patients (82%) and 16 of the 17 GA group patients (94%) would recommend the surgical procedure and would accept undergoing the same operation again (nonsignificant difference).
Authors:
Marc Remacle; Jerome Keghian; Georges Lawson; Jacques Jamart
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Publication Detail:
Type:  Journal Article     Date:  2003-04-17
Journal Detail:
Title:  European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery     Volume:  260     ISSN:  0937-4477     ISO Abbreviation:  Eur Arch Otorhinolaryngol     Publication Date:  2003 Sep 
Date Detail:
Created Date:  2003-09-23     Completed Date:  2004-04-21     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9002937     Medline TA:  Eur Arch Otorhinolaryngol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  456-9     Citation Subset:  IM    
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, University Hospital of Louvain at Mont-Godinne, Avenue Therasse 1, 5530 Yvoir, Belgium. remacle@orlo.ucl.ac.be
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Anesthesia, General
Anesthesia, Local
Carbon Dioxide
Catheter Ablation* / instrumentation
Chronic Disease
Female
Follow-Up Studies
Humans
Laser Therapy* / instrumentation,  methods
Male
Middle Aged
Patient Satisfaction
Tonsillectomy / methods*
Tonsillitis / surgery*
Chemical
Reg. No./Substance:
124-38-9/Carbon Dioxide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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