Laser tonsillectomy as a treatment on chronic tonsillitis: a case report
DOI:
https://doi.org/10.35335/midwifery.v12i2.1546Keywords:
Chronic Tonsillitis, Diode Laser, Tonsil, Tonsillectomy, TonsillitisAbstract
Tonsillectomy is one of the most often conducted surgical procedures in children. It has several surgical techniques, such as tonsillectomy with thermal welding, guillotine excision, electrocautery, cryosurgery, coblation, ultrasonic removal, laser removal, monopolar and bipolar surgery, and tonsillectomy with ligatures. This case report aims to present a detailed description of a 9-year-old boy who is suffering from tonsillitis. The patient came to the Ear, Nose, and Throat (ENT) clinic with a chronic history of reoccurring throat pain over the past two years, which has lately intensified over the past six months. Complaints are experienced nearly monthly, occasionally accompanied by pain while swallowing, coughing, and a runny nose. The patient experiences a laser-assisted surgical procedure to remove the tonsils. We performed a surgical procedure to excise the tonsil mass using a gallium aluminum arsenide (GaAlAs) diode laser with a wavelength of 980nm/1470nm and a power of 4 watts. This procedure was successfully performed. After laser tonsillectomy treatment on days 1-3, the Visual Analog Scale (VAS) score was 1, indicating no bleeding. On the fourth day, the patient had no pain or bleeding.
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References
Ahmed, J., & Arya, A. (2021). Lasers in Tonsillectomy: Revisited With Systematic Review. Ear, Nose & Throat Journal, 100(1_suppl), 14S-18S. https://doi.org/10.1177/0145561320961747
Alaqeedy, A. A., Al-Ani, R. M., & Rashid, R. A. (2022). Coblation Versus Diode Laser Tonsillectomy: A Comparative Study. Iranian Journal of Otorhinolaryngology, 34(121), 113–120. https://doi.org/10.22038/IJORL.2021.56901.2961
Albazee, E., Al-Sebeih, K. H., Alkhaldi, F., Majeed, H., Alenezi, M. M., Alshammari, B., Magzoub, D., & Abu-Zaid, A. (2022). Coblation tonsillectomy versus laser tonsillectomy: a systematic review and meta-analysis of randomized controlled trials. European Archives of Oto-Rhino-Laryngology, 279(12), 5511–5520. https://doi.org/10.1007/s00405-022-07534-0
Aldamluji, N., Burgess, A., Pogatzkiâ€ÂÂZahn, E., Raeder, J., & Beloeil, H. (2021). PROSPECT guideline for tonsillectomy: systematic review and procedureâ€ÂÂspecific postoperative pain management recommendations. Anaesthesia, 76(7), 947–961. https://doi.org/10.1111/anae.15299
Al-Shehri, A. MaeedS., Alenzi, H. S., Ali Mohammed, Y., Musleh, A., Bharti, R., & Saeed Munshet, A. (2020). Cauterization tonsillectomy as compared to traditional tonsillectomy technique. Journal of Family Medicine and Primary Care, 9(8), 3981. https://doi.org/10.4103/jfmpc.jfmpc_84_20
Amsriza, F. R., & Fakhriani, R. (2024). Laser Hemorrhoidoplasty Using Reusable Bare Fiber Combined Mucopexy on Grade IV Internal Hemorrhoid: A Case Report. Jurnal Ilmiah Kedokteran Wijaya Kusuma, 13(1), 1. https://doi.org/10.30742/jikw.v13i1.2874
Bashir, S., & Swami, G. (2023). Comparative Study of Bipolar Electrocautery Versus Silk Ligation for Hemostasis During Tonsillectomy. Indian Journal of Otolaryngology and Head & Neck Surgery, 75(3), 2025–2028. https://doi.org/10.1007/s12070-023-03778-2
Costa, H. J. Z. R., Di Francesco, R. C., Giancoli, S. M., de Miranda, F. M. P., & Bento, R. F. (2022). Tonsillotomy by a Fractional Carbon Dioxide Laser: A New Technique in the Treatment of Chronic Tonsillitis. Journal of Lasers in Medical Sciences, 13, e51. https://doi.org/10.34172/jlms.2022.51
Jain, A., Lew, C., Aksakal, G., Hiscock, R., & Mirbagheri, N. (2022). Laser hemorrhoidoplasty in the treatment of symptomatic hemorrhoids: a pilot Australian study. Annals of Coloproctology. https://doi.org/10.3393/ac.2022.00164.0023
Jones, G. H., Burnside, G., McPartland, J., Markey, A., Fallon, M., & De, S. (2018). Is tonsillectomy mandatory for asymmetric tonsils in children? A review of our diagnostic tonsillectomy practice and the literature. International Journal of Pediatric Otorhinolaryngology, 110, 57–60. https://doi.org/10.1016/j.ijporl.2018.04.027
Jung, Y., Baik, G. H., Ko, W. J., Ko, B. M., Kim, S. H., Jang, J. S., Jang, J.-Y., Lee, W.-S., Cho, Y. K., Lim, S. G., Moon, H. S., Yoo, I. K., & Cho, J. Y. (2021). Diode Laserâ€â€ÂCan It Replace the Electrical Current Used in Endoscopic Submucosal Dissection? (with Video). Clinical Endoscopy, 54(4), 555–562. https://doi.org/10.5946/ce.2020.229
Kang, K., Kim, H., Kim, J. H., Im, N.-R., Lee, H. J., Kim, B. J., Jung, K. Y., Kim, T. H., & Baek, S.-K. (2016). The Feasibility of 1940-nm Diode Laser in Tonsillectomy. Medical Lasers, 5(2), 77–82. https://doi.org/10.25289/ML.2016.5.2.77
Kumar, A., Kumar, S., Krishnan, A., Verma, M., Garg, U., & Sharma, N. (2022). A Comparative Analysis of Outcomes of Conventional Cold Dissection Versus Laser Tonsillectomy in Pediatric Cases in a Tertiary Care Hospital in Haryana. Indian Journal of Otolaryngology and Head & Neck Surgery, 74(S3), 5311–5318. https://doi.org/10.1007/s12070-020-02301-1
Maloney, R. W. (1991). Contact Nd: YAG tonsillectomy: Effects on weight loss and recovery. Lasers in Surgery and Medicine, 11(6), 517–522. https://doi.org/10.1002/lsm.1900110605
Odhagen, E., Alm, F., Axelsson, S., Hemlin, C., Nerfeldt, P., Stalfors, J., & Sunnergren, O. (2023). Long-term complications after tonsil surgery: an analysis of 54,462 patients from the Swedish Quality Register for Tonsil Surgery. Frontiers in Surgery, 10. https://doi.org/10.3389/fsurg.2023.1304471
Palaia, G., Pergolini, D., D’Alessandro, L., Carletti, R., Del Vecchio, A., Tenore, G., Di Gioia, C. R. T., & Romeo, U. (2020). Histological Effects of an Innovative 445 Nm Blue Laser During Oral Soft Tissue Biopsy. International Journal of Environmental Research and Public Health, 17(8), 2651. https://doi.org/10.3390/ijerph17082651
Postier, A. C., Chambers, C., Watson, D., Schulz, C., & Friedrichsdorf, S. J. (2020). A descriptive analysis of pediatric post-tonsillectomy pain and recovery outcomes over a 10-day recovery period from 2 randomized, controlled trials. PAIN Reports, 5(2), e819. https://doi.org/10.1097/PR9.0000000000000819
Qian, L., Li, X., Chen, H., & Chi, X. (2020). Recent advances in post-tonsillectomy analgesia. Digestive Medicine Research, 3, 28–28. https://doi.org/10.21037/dmr-20-38
Randall, D. A. (2020). Current Indications for Tonsillectomy and Adenoidectomy. The Journal of the American Board of Family Medicine, 33(6), 1025–1030. https://doi.org/10.3122/jabfm.2020.06.200038
Russo, E., Festa, B. M., Costantino, A., Bernardocchi, A., Spriano, G., & De Virgilio, A. (2024). Postoperative Morbidity of Different Tonsillectomy Techniques: A Systematic Review and Network Metaâ€ÂÂAnalysis. The Laryngoscope, 134(4), 1696–1704. https://doi.org/10.1002/lary.31116
Santhraya, M., & Pavithran, P. (2021). Popular techniques in tonsillectomy: A randomised, controlled study. IP Journal of Otorhinolaryngology and Allied Science, 3(4), 126–129. https://doi.org/10.18231/j.ijoas.2020.027
Tang, J., Ye, S., Ji, X., Li, J., & Liu, F. (2018). Comparison of synchronous dual wavelength diode laser versus conventional endo-knives for esophageal endoscopic submucosal dissection: an animal study. Surgical Endoscopy, 32(12), 5037–5043. https://doi.org/10.1007/s00464-018-6381-z
Tarhan, I. A., Dumantepe, M., Yurdakul, I., Kehlibar, T., & Ozler, A. (2014). Local cooling effect on perforation rates comparing the 980–1470 nm laser wavelengths used with endovenous laser ablation: double blind in vitro experimental study. Phlebology: The Journal of Venous Disease, 29(2), 120–125. https://doi.org/10.1258/phleb.2012.012021
Tsikopoulos, A., Fountarlis, A., Tsikopoulos, K., Dilmperis, F., Tsikopoulos, I., Garefis, K., Karkos, P., Skoulakis, C., & Triaridis, S. (2023). CO2 laser or dissection tonsillectomy: A systematic review and meta-analysis of clinical outcomes. Auris Nasus Larynx, 50(1), 2–16. https://doi.org/10.1016/j.anl.2022.05.002
Younesi, F. S., Miller, A. E., Barker, T. H., Rossi, F. M. V., & Hinz, B. (2024). Fibroblast and myofibroblast activation in normal tissue repair and fibrosis. Nature Reviews Molecular Cell Biology. https://doi.org/10.1038/s41580-024-00716-0
