RADIOFREQUENCY TONSIL REDUCTION: SAFETY, MORBIDITY, AND EFFICACY IN 20 PATIENTS IN AMIRALAM UNIVERSITY HOSPITAL

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ARDEHALI M.M.; SAMIMI ARDESTANI S.H.; SAEIDI M.; AMALI A.; BOROUMAND P.

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Journal: TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ) Year:2007 | Volume:64 | Issue:10 Page(s): 33-38

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Title

RADIOFREQUENCY TONSIL REDUCTION: SAFETY, MORBIDITY, AND EFFICACY IN 20 PATIENTS IN AMIRALAM UNIVERSITY HOSPITAL

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Keywords

TONSILOTOMYQ3

RADIOFREQUENCYQ3

TONSILAR HYPERTROPHYQ3

Abstract

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 quasiexperimental 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.

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