Radiofrequency Induced Tonsil Thermotherapy in Children
Authors:
P. Příhodová 1; J. Kraus 1; J. Plzák 2,3,4
Authors place of work:
ORL oddělení Nemocnice Rudolfa a Stefanie Benešov, a. s., Nemocnice Středočeského kraje
; primář MUDr. J. Kraus
Klinika otorinolaryngologie a chirurgie hlavy a krku 1. LF UK a FN Motol, Praha, Katedra otorinolaryngologie IPVZ
1; přednosta prof. MUDr. J. Betka, DrSc.
Anatomický ústav 1. LF UK, Praha
2; přednosta prof. MUDr. M. Grim, DrSc.
Centrum buněčné terapie a tkáňových náhrad 2. LF UK, Praha
3; vedoucí prof. MUDr. E. Syková, DrSc.
4
Published in the journal:
Otorinolaryngol Foniatr, 58, 2009, No. 2, pp. 83-88.
Category:
Original Article
Summary
Radiofrequency induced thermotherapy (RFITT) is a minimally invasive electrosurgical technique with high efficacy and safety in volume reduction surgery. The aim of this study was to determine the effectiveness and safety of RFITT of the tonsils in children. 62 children underwent RFITT of the palatine tonsils, or RFITT of the palatine tonsils with endoscopic adenotomy, for the upper airway obstruction and tonsillar hypertrophy. The patients were divided into two groups. The first group included patients with RFITT of the palatine tonsils and endoscopic adenotomy. The second group included patients with RFITT of the palatine tonsils and endoscopic revisions of the nasopharynx without adenotomy. We monitored the incidence of perioperative complications, the upper respiratory tract inflammation, palatine tonsil size and symptoms of obstruction of the upper respiratory tract before surgery and during the follow-up. There were no serious complications. Bleeding was minimal. Inflammatory complications did not occur. In most cases, there was a significant reduction of the size of the tonsil and the decline of clinical signs of obstruction HCD. There were no significant differences between the two groups.
Radiofrequency induced thermotherapy of the tonsils using the Celon system is a highly secure method with low morbidity for pediatric patients. It is well effective in the removal of signs of the upper airway obstruction.
Key words:
tonsillar hypertrophy, tonsillotomy, radiofrequency induced thermotherapy.
Zdroje
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Štítky
Audiology Paediatric ENT ENT (Otorhinolaryngology)Článok vyšiel v časopise
Otorhinolaryngology and Phoniatrics
2009 Číslo 2
Najčítanejšie v tomto čísle
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