Laser removal of tonsils is an alternative to the classical surgery. The laser is a source unidirectional radiation with the same wavelength. Method effects on tissues depends on the length of this wave. During surgery on the tonsils are involved and sintering the destructive effects of the beam. First necessary to remove the fabric, and the second prevents the open wound surface, then there are areas that are vulnerable to infection.
Of course, like any surgery, a tonsillectomy, many patients agree not without trouble. Fearing such a radical step, they try to find an alternative to surgery. If the doctor suggests removal of the tonsils with a laser, the patient is interested in the consequences, and he reads the reviews online, which are mostly positive, but still not sure. We will try to give the detailed information that will help you make the right decision.
Types of laser tonsillectomy
Radical tonsillectomy assumes full
. In contrast, laser ablation involves the exposure of only the upper layers of the gland. In the preserved part of the tonsil lacunas are expanding, while one can remove pathological tissue and pus.
During the operation, you can use different types of laser. The choice depends on the goals of surgery and condition of the gland.
- Holmium laser can affect the lesions within the tonsil so that the surrounding healthy tissue intact.
- Fiber-optic laser is used in cases when most of the tonsils are affected by inflammation.
- Infrared laser and divides the tissues, and binds.
- Carbon provides the effect of laser vaporization of tissue, causing the volume of the tonsils and infected sites is reduced.
Indications for laser removal of gland
Palatine tonsils must be removed in situations where the threat posed to other organs, purulent lesions, greater than the risks accompanying the operation. Surgical intervention is recommended in the following cases
- during the year the patient was ill with tonsillitis 4 times or more
- stable remission of the disease does not occur in the course of a year, despite repeated courses of antibiotics and physiotherapy
- there are complications in the nervous system, joints, kidneys or heart
- the patient is suffering with chronic rheumatic disease, or experienced a severe rheumatic attack
- increase gland does not give the patient the ability to breathe normally or to swallow.
Contraindications to laser removal of gland
In some situations, surgery to remove the tonsils by laser can not be carried out. For example, the huge importance of age factors. The operation can be performed only if the patient is over 10 years.
Removal of the tonsils with a laser is not carried out in the presence of certain pathological conditions. Among them, acute infectious diseases, exacerbation of chronic diseases, diabetes, cancer pathology, and blood clotting. Another contraindication to surgery is pregnancy.
How is the operation
The patient is seated in a chair, throat are treated with lidocaine or other anesthetic. When sensitivity is lost, the gland is supplied to the electrode of the laser.
Surface treatment of the tonsils is carried out in several stages (each takes about 10-15 seconds). Large gaps are expanding, and their edges are smoothed to prevent accumulation of purulent masses. The scars, which can prevent outflow of the contents of the lacunae cut.
One of the newest methods of surgery is coblation tonsillectomy, in which the tissues are dissociated at the molecular level without heat exposure. This is a low-impact way, but yet rarely applied.
The advantages of laser removal of glands
As a result of operation there is no bleeding, there is no risk of acute post-hemorrhagic iron deficiency anemia. No open wounds, so there is no fear of infection. As a result, in the postoperative period to take antibiotics needless.
Because the removal of the tonsils with a laser is performed under local anesthesia, a not so high probability that the patient will occur Allergy or intolerance means anesthesia. The procedure lasts 15 to 30 minutes, that is less than the classical surgery.
Surgery to remove the tonsils by laser can be performed on an outpatient basis. Because long-term postoperative period there is no recovery, the patient does not lose working capacity.
Disadvantages of laser removal of glands
Because ablation of the lymphoid tissue partially removed in the future possible recurrence of the disease. The cost of the procedure is quite high.
In addition, it must be remembered that the removal of the tonsils means the loss of barrier to infection. As a result of the change