gms | German Medical Science

79. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

30.04. - 04.05.2008, Bonn

Rezidives of tonsillar hyperplasia and complications after laser-tonsillotomy in childhood

Meeting Abstract

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  • corresponding author Ulrich Vorwerk - AMEOS Klinikum St. Salvator Halberstadt, ENT-Department, Halberstadt, Germany
  • Stefan Leopold - AMEOS Klinikum St. Salvator Halberstadt, ENT-Department, Halberstadt, Germany
  • Klaus Begall - AMEOS Klinikum St. Salvator Halberstadt, ENT-Department, Halberstadt, Germany

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 79th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Bonn, 30.04.-04.05.2008. Düsseldorf, Köln: German Medical Science; 2008. Doc08hno27

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/hno2008/08hno27.shtml

Veröffentlicht: 8. Juli 2008

© 2008 Vorwerk et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Tonsillotomy is a well-known technique of surgery that was declined for a long time. Only after the adoption of lasertechnology into clinical practice it was re-established in the form of laser assisted tonsillotomy. At the ENT clinic of AMEOS clinical center St. Salvator Halberstadt, 89 laser-tonsillotomies were carried out in the period from March 2004 to June 2007. As a rule, the indication of hyperplasia without inflammation of the tonsils is based on statements of parents and the referring physician, thus in some cases signs of tonsillar tissue inflammation were found during the operation. In three cases, due to hyperplasia rezidive, laser-tonsillotomy had to be redone. In one case, a postoperative mucosa hemorrhage occurred that could be treated without problems. The mean age of the treated children was 3.91 years; the youngest being 1 year, the oldest being 13 years old. Most of them stayed in the hospital for 4 days. In no case the medical insurance raised an objection. Generally, a laser-shield endotracheal tube was used during operation. In our opinion the laser-tonsillotomy is a reliable and recommendable operation method with a low rate of rezidives and complications.