Possible new treatment for tonsil disorders


Tonsils have been surgically removed for decades to treat tonsillitis, often recurring. Researchers from various Dutch hospitals, including the Leiden University Medical Center (LUMC), are now looking at a less invasive and painful alternative: laser tonsillotomy under local anaesthetic.

Tonsillectomy is a surgical procedure that completely removes the tonsils, two oval-shaped pads at the back of the throat. The procedure is often performed on patients suffering from recurrent tonsillitis, laryngitis and sleep apnea. “Just like any other operation, tonsillectomy has certain risks, including side effects of general anesthesia, a long recovery period after the operation and a lot of pain,” explains Justin Wong Chung, PhD student at the ENT department of the LUMC.

Tonsillectomy or tonsillotomy?

In a study in which the LUMC, Haga Hospital, Haaglanden Medisch Centrum, Reinier de Graaf, VieCuri Medisch Centrum and Amphia Hospital are participating, Wong Chung and his colleagues compared the safety, effectiveness and recovery period of the usual tonsillectomy with an alternative surgery: the laser tonsillectomy. under local anaesthetic. “Only the lymphatic tissue of the tonsils is removed, leaving the larger nerves and blood vessels intact and covering the underlying muscles. As a result, patients do not have to undergo general anesthesia and it leads to less pain after the operation, a considerably shorter recovery period and fewer complications such as bleeding,” says the PhD candidate. The researchers’ results have been published in JAMA Open.

A possible alternative

199 patients participate in the randomized clinical trial. This makes it the largest study into this treatment to date. “Our results from six months after surgery show that laser tonsillectomy under local anesthesia is an interesting and safe alternative to the currently common tonsillectomy under anesthesia,” notes Wong Chung.

Review of the guidelines

As the academic center within this study, the LUMC contributes to further knowledge and development of laser tonsillotomy surgery. In this study, the LUMC is involved in the design of the study protocol, the methods and the analysis of the results. “We will continue to follow the patients for the next two years and await these results before we can draw definitive conclusions about the effectiveness of the laser procedure,” says Wong Chung. adults and inclusion of the treatment in the basic health insurance.

Possible new treatment for tonsil disorders
Source link Possible new treatment for tonsil disorders

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