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Radiofrequency volume tissue reduction of the tonsils: case report and histopathologic findings
Journal article   Open access   Peer reviewed

Radiofrequency volume tissue reduction of the tonsils: case report and histopathologic findings

Alyssa R Terk and Steven B Levine
Ear, nose, & throat journal, v 83(8), pp 572, 574, 576-578
Aug 2004
PMID: 15487639
url
https://doi.org/10.1177/014556130408300818View
Published, Version of Record (VoR) Open

Abstract

Adolescent Catheter Ablation - instrumentation Catheter Ablation - methods Female Humans Palatine Tonsil - pathology Palatine Tonsil - surgery Tonsillectomy - adverse effects Tonsillectomy - instrumentation Tonsillectomy - methods Treatment Outcome
Innovative new techniques to resect tonsillar tissue have been described in the recent literature. We report the case of a patient who underwent volume reduction of tonsillar tissue by radiofrequency energy under local anesthesia in an office setting. Treatment resulted in a reduction of tonsillar size with minimal pain, which can be attributed to the avoidance of mucosal interruption. The patient subsequently underwent standard tonsillectomy, which allowed us to examine the histopathology of the tissue that was treated with radiofrequency. In doing so, we noted an absence of fibrosis and preservation of normal histologic architecture. We conclude that performing volume reduction of tonsillar tissue by applying radiofrequency energy to the stroma of the tonsils without temperature control results in objective improvement in airway size with minimal effects on the histopathology of the tonsillar stroma. Mucosa-sparing tonsillar reduction may be a preferable alternative to other techniques of tonsillar reduction, especially for young children, who would experience a nearly pain-free procedure.

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