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KTP-532 laser tonsillectomy – a potential day-case procedure?

Published online by Cambridge University Press:  29 June 2007

N. M. N. Raine ,
H. B. Whittet ,
N. J. Marks  and
R. M. Ryan
N. M. N. Raine*
Affiliation:
Department of Otolaryngology, Royal Berkshire Hospital, London Road, Reading R61 5AN.
H. B. Whittet
Affiliation:
Department of Otolaryngology, Royal Berkshire Hospital, London Road, Reading R61 5AN.
N. J. Marks
Affiliation:
Department of Otolaryngology, Royal Berkshire Hospital, London Road, Reading R61 5AN.
R. M. Ryan
Affiliation:
Department of Otolaryngology, Royal Berkshire Hospital, London Road, Reading R61 5AN.
*
Address for correspondence: Ms N. M. N. Raine, F.R.C.S., 40 Ash Grove, Headington, Oxford OX3 9JL.
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Abstract

We report the results of a prospective pilot study of 54 adult patients undergoing tonsillectomy using the KTP-532 laser, designed to assess whether the technique would facilitate day-case adult tonsillectomy. Subjective and objective assessment at six hours post-operatively showed that only 43 per cent could, in our judgement, have been discharged at this interval. Furthermore, the overall complication rate was 31 per cent with a secondary haemorrhage rate of 19 per cent. We conclude that KTP-532 laser tonsillectomy as performed in this pilot study compares unfavourably with dissection tonsillectomy and we discuss possible reasons for this.

Keywords

Laser surgeryTonsillectomyPost-operative complicationsDay care
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 6 , June 1995 , pp. 515 - 519
Copyright
Copyright © JLO (1984) Limited 1995

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References

Barron, J. (1987) Denver surgeon uses CO2 laser for quick, easy tonsillectomy. Clinical Laser Monthly (Laser practice report) May: 28–48.Google Scholar
Colclasure, J. B., Graham, S. (1990) Complications of outpatient tonsillectomy and adenoidectomy: a review of 3340 cases. Ear, Nose and Throat Journal 69: 155–160.Google Scholar
Cook, J. A., Murrant, N. J., Evans, K. L., Lavelle, R. J. (1992) A randomized comparison of three post-tonsillectomy diets. Clinical Otolaryngology 17: 28–31.CrossRefGoogle ScholarPubMed
Guida, R. A., Mattucci, K. F. (1990 a) Tonsil and adenoid surgery as an outpatient procedure: is it safe? International Surgery 75: 131–133.Google ScholarPubMed
Guida, R. A., Mattucci, K. F. (1990 b) Tonsillectomy and adenoidectomy: an inpatient or outpatient procedure? Laryngoscope 100: 491–493.CrossRefGoogle ScholarPubMed
Haberman, R. S., Shattuck, T. G., Dion, N. M. (1990) Is outpatient suction cautery tonsillectomy safe in a community hospital setting? Laryngoscope 100: 511–515.CrossRefGoogle Scholar
Helmus, C., Grin, M., Westfall, R. (1990) Same-day-stay adenotonsillectomy. Laryngoscope 100: 593–596.CrossRefGoogle ScholarPubMed
Kaluskar, S. K. (1993) Consultant ENT Surgeon, Tyrone County Hospital, Enniskillen (personal communication).Google Scholar
Linden, B. E., Gross, C. W., Long, T. E., Lazar, R. H. (1990) Morbidity in paediatric tonsillectomy. Laryngoscope 100: 120–124.CrossRefGoogle Scholar
Maloney, R. W. (1988) Contact Nd-YAG tonsillectomy: effects on weight loss and recovery. Lasers in Surgery and Medicine 11: 517–522.CrossRefGoogle Scholar
Maniglia, A. J., Kushner, H., Cozzi, L. (1989) Adenotonsillectomy: a safe outpatient procedure. Archives of Otolaryngology, Head and Neck Surgery 115: 92–94.CrossRefGoogle ScholarPubMed
Martinez, S. A., Akin, D. P. (1989) Laser tonsillectomy and adenoidectomy. Owlaryngologic Clinics of North America 20: 371–376.CrossRefGoogle Scholar
Oas, R. E., Bartels, J. P. (1990) KTP-532 laser tonsillectomy: a comparison with standard technique. Laryngoscope 100: 385–388.CrossRefGoogle ScholarPubMed
O'Connor, G., Riding, K., Laird, B., Riou, R. N., Seward, D. J. (1990) Day-care tonsillectomy: a study. Canadian Journal of Anaesthetics 37 (4): S133.Google ScholarPubMed
Stevens, M. H. (1990) Laser surgery of tonsils, adenoids and pharynx. Otolaryngologic Clinics of North America 23: 43–47.CrossRefGoogle ScholarPubMed
Strunk, C. L., Nicholls, M. L. (1990) A comparison of the KTP/532-laser tonsillectomy versus traditional dissection/snare tonsillectomy. Otolaryngology-Head and Neck Surgery 103: 966–971.CrossRefGoogle Scholar
Tewary, A. K., Curry, A. R. (1993) Same-day tonsillectomy. Journal of Laryngology and Otology 107: 706–708.CrossRefGoogle ScholarPubMed
The Royal College of Surgeons of England (1992) Commission on the Provision of Surgical Services: Guidelines for Day-Case Surgery, The Royal College of Surgeons of England, London.Google Scholar
Wagner, G. A. L. (1991) Ambulatory adult tonsillectomy. Journal of Otolaryngology 20 (1): 33–34.Google ScholarPubMed