"Radiofrequency tonsil reduction: safety, morbidity, and efficacy in 20 patients in Amiralam university hospital "
Background: Radiofrequency has recently been used in treating tonsilar hypertrophy in adults. We evaluated the results of partial resection (volume reduction) of tonsil using this method. Methods: Twenty patients with tonsilar hypertrophy were enrolled in a quasi-experimental before-after clinical t...
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Tehran University of Medical Sciences
2007-04-01
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doaj-7cd4bb01664d4f12a7e4cedcbcd208162020-11-24T23:03:30ZfasTehran University of Medical SciencesTehran University Medical Journal1683-17641735-73222007-04-0164103338"Radiofrequency tonsil reduction: safety, morbidity, and efficacy in 20 patients in Amiralam university hospital "Ardehali M.MSamimi Ardestani S.HBoromand PSaeedi MAmali ABackground: Radiofrequency has recently been used in treating tonsilar hypertrophy in adults. We evaluated the results of partial resection (volume reduction) of tonsil using this method. Methods: Twenty patients with tonsilar hypertrophy were enrolled in a quasi-experimental before-after clinical trial. Local anesthesia was achieved by utilizing lidocain spray and then injection of lidocain and epinephrine, then radiofrequency was performed at power=7-8w. Bleeding, pain and need for analgesics were assessed during, immediately, 4, 6, and 8 weeks after operation. Results: The mean pain scale was 2.68±2.11 according to (VAS) and the mean bleeding amount was 1.16±0.24ml during operation. The mean operation time was 7.81±2.56min. Ten percent of our patients did not have pain immediately after surgery while 55% complained of pains that did not warrant using analgesics and the remaining 35% experienced pains that were alleviated by analgesics. During and immediately after operation 95% of the patients experienced mild bleeding and only one patient (5%) had moderate bleeding (2-5ml). Mild bleeding was only reported in 10% of patients during the first 4 weeks after operation and was not seen in patients in following weeks. The grade of tonsilar hypertrophy decreased in all patients and the mean time of symptom disappearance was 7.81±0.36 in 8 weeks. Finally the mean satisfaction rate of the patients was 66.92±12.5% (ranging from 50% to 80%). Mild complications were reported in 15% of patients. Conclusion: Radiofrequency is a safe procedure with minimum possible complication rate for tonsilotomy. http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/3243.pdf&manuscript_id=3243Tonsilotomytonsilar hypertrophy |
collection |
DOAJ |
language |
fas |
format |
Article |
sources |
DOAJ |
author |
Ardehali M.M Samimi Ardestani S.H Boromand P Saeedi M Amali A |
spellingShingle |
Ardehali M.M Samimi Ardestani S.H Boromand P Saeedi M Amali A "Radiofrequency tonsil reduction: safety, morbidity, and efficacy in 20 patients in Amiralam university hospital " Tehran University Medical Journal Tonsilotomy tonsilar hypertrophy |
author_facet |
Ardehali M.M Samimi Ardestani S.H Boromand P Saeedi M Amali A |
author_sort |
Ardehali M.M |
title |
"Radiofrequency tonsil reduction: safety, morbidity, and efficacy in 20 patients in Amiralam university hospital " |
title_short |
"Radiofrequency tonsil reduction: safety, morbidity, and efficacy in 20 patients in Amiralam university hospital " |
title_full |
"Radiofrequency tonsil reduction: safety, morbidity, and efficacy in 20 patients in Amiralam university hospital " |
title_fullStr |
"Radiofrequency tonsil reduction: safety, morbidity, and efficacy in 20 patients in Amiralam university hospital " |
title_full_unstemmed |
"Radiofrequency tonsil reduction: safety, morbidity, and efficacy in 20 patients in Amiralam university hospital " |
title_sort |
"radiofrequency tonsil reduction: safety, morbidity, and efficacy in 20 patients in amiralam university hospital " |
publisher |
Tehran University of Medical Sciences |
series |
Tehran University Medical Journal |
issn |
1683-1764 1735-7322 |
publishDate |
2007-04-01 |
description |
Background: Radiofrequency has recently been used in treating tonsilar hypertrophy in adults. We evaluated the results of partial resection (volume reduction) of tonsil using this method. Methods: Twenty patients with tonsilar hypertrophy were enrolled in a quasi-experimental before-after clinical trial. Local anesthesia was achieved by utilizing lidocain spray and then injection of lidocain and epinephrine, then radiofrequency was performed at power=7-8w. Bleeding, pain and need for analgesics were assessed during, immediately, 4, 6, and 8 weeks after operation. Results: The mean pain scale was 2.68±2.11 according to (VAS) and the mean bleeding amount was 1.16±0.24ml during operation. The mean operation time was 7.81±2.56min. Ten percent of our patients did not have pain immediately after surgery while 55% complained of pains that did not warrant using analgesics and the remaining 35% experienced pains that were alleviated by analgesics. During and immediately after operation 95% of the patients experienced mild bleeding and only one patient (5%) had moderate bleeding (2-5ml). Mild bleeding was only reported in 10% of patients during the first 4 weeks after operation and was not seen in patients in following weeks. The grade of tonsilar hypertrophy decreased in all patients and the mean time of symptom disappearance was 7.81±0.36 in 8 weeks. Finally the mean satisfaction rate of the patients was 66.92±12.5% (ranging from 50% to 80%). Mild complications were reported in 15% of patients. Conclusion: Radiofrequency is a safe procedure with minimum possible complication rate for tonsilotomy. |
topic |
Tonsilotomy tonsilar hypertrophy |
url |
http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/3243.pdf&manuscript_id=3243 |
work_keys_str_mv |
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