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
Jan 1, 1989·The Annals of Otology, Rhinology, and Laryngology·H L Levine
Sep 1, 1986·Fertility and Sterility·J F DaniellR Tosh
Jan 1, 1988·Acta Oto-laryngologica. Supplementum·T NishimuraT Okada
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
Sep 2, 2004·HNO·K J LorenzH Maier
Apr 1, 1995·Clinical Otolaryngology and Allied Sciences·V Nandapalan, J C McIlwain
Nov 9, 2001·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·R A Walker, Z A Syed
Apr 22, 2005·HNO·J P Windfuhr
Apr 6, 2005·HNO·I Baumann
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
Jul 15, 2009·The Laryngoscope·Riccardo D'Eredità, Loredana Bozzola
Jun 1, 1995·The Journal of Laryngology and Otology·N M RaineR M Ryan
Aug 26, 1998·The Laryngoscope·C R Cannon
May 25, 2007·The Journal of Laryngology and Otology·H M HegazyA S Behiry
Oct 18, 2002·Clinical Otolaryngology and Allied Sciences·P KothariS O'Malley
Jan 1, 1994·Lasers in Surgery and Medicine·R H OssoffL Reinisch
Jan 30, 2004·Southern Medical Journal·Benjamin Rideout, Gary Y Shaw
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
Dec 22, 1999·International Journal of Pediatric Otorhinolaryngology·A LinderE Hultcrantz
Jun 8, 2000·International Journal of Pediatric Otorhinolaryngology·M P PizzutoE Nauenberg
Oct 26, 1999·Auris, Nasus, Larynx·T SaitoH Saito
Jul 4, 2007·Otolaryngologic Clinics of North America·David H Darrow