PMID: 2126131Dec 1, 1990Paper

A comparison of the KTP/532-laser tonsillectomy vs. traditional dissection/snare tonsillectomy

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
C L Strunk, M L Nichols

Abstract

This study compared tonsillectomy by potassium-titanyl-phosphate (KTP/532) laser with tonsillectomy by traditional dissection and snare. Eighty-three consecutive patients who were candidates for a tonsillectomy were randomly assigned to one of four groups in a prospective study. The four treatments were bilateral traditional dissection/snare tonsillectomy, bilateral KTP/532-laser tonsillectomy, left laser tonsillectomy and right dissection/snare tonsillectomy, and left dissection/snare tonsillectomy and right laser tonsillectomy. Intraoperative comparisons were made between the two methods with regard to blood loss and operating time. Postoperatively bleeding and healing time were also recorded. A questionnaire answered on a daily basis assessed the patient's pain. Disadvantages of the KTP/532 tonsillectomy included increased cost, increased total operating time as a result of increased setup time and laser malfunctions, delayed healing, and no statistically significant improvement in level of pain. The sole advantage associated with the KTP/532 laser tonsillectomy was decreased blood loss, which may be significant for patients with a coagulopathy.

References

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Citations

Aug 1, 1994·Clinical Otolaryngology and Allied Sciences·J De Carpentier, M Timms
Jun 1, 1992·Journal of Clinical Laser Medicine & Surgery·V H Oswal, B J Bingham
Apr 1, 1995·Clinical Otolaryngology and Allied Sciences·V Nandapalan, J C McIlwain
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Nov 4, 2004·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Riccardo D'Eredità, Roger R Marsh
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Feb 5, 1998·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·D A Randall, M E Hoffer
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Jun 8, 2000·International Journal of Pediatric Otorhinolaryngology·M P PizzutoE Nauenberg
Jul 4, 2007·Otolaryngologic Clinics of North America·David H Darrow

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