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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*
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.

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.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1995

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