We Performed Tonsillectomy Operation With Thermal Welding Method in Patient with Obstructive Sleep Apnea Syndrome and Tonsil Stone (Magma)

July 15, 2018

Tonsil Removal Surgery

Thermal welding tonsillectomy - Tonsillectomy in Istanbul - Tonsil removal in Istanbul - Bloodless, knifeless, painless tonsillectomy in Istanbul - Treatment of big tonsils

Tonsils are formed by the accumulation of dead cells, inflammation and food debris on recessed pit areas ("crypt" areas) on the surface of the tonsils, and stone formation is easier in the tonsils with rough, recessed protrusions. The main symptom in patients with tonsils is usually mouth odor. In fact, the cause of bad breath is competing with "reflux" among the reasons (see Turkish article "Bademcik Taşı Temizliği" ni Garantili Ağız Kokusu Tedavi Yöntemi Olarak Görmeyin!").

Depending on the tonsils or magma, there may be a foreign body feeling in the throat, pain rarely in the ear, and a feeling of hanging while swallowing. The fact that there are no stones on the tonsils does not mean that there are no stones in the tonsils. When the tonsils are squeezed out during the operation, when the tonsils are pressed from the deep pit areas, tonsil stones can be seen. Simple surface cleaning is not sufficient for treatment. There is no known permanent medical treatment. As a result, when the food passes mechanically through the throat, the edges fill sharp and deep pit areas and new stone formation begins. The most effective treatment is the removal of tonsils. In this method, called "laser cryptolysis", which can be described as "smoothing the surface of the tonsils" (my father carpenter and perhaps my first work "sanding" the surface of the tonsils according to carpentry) in order to make the sharp and deep upper areas of the laser pit areas more superficial and smoother, It is aimed to prevent further rubbing of the surface and escape into the pit. Of course, it is not a permanent and fully effective method because I do not prefer deep cavities or the bottom of the pits because of the mucosal burn injury that the laser has given ... In the above photo, you can see the tonsils that have just started to form under the left tongue.

As the size of the tonsils increases, the massive effect narrows the cross-sectional area of the airway in the throat and is associated with sleep apnea syndrome, especially when lying down on the back, such as lying on the back, side lying, tired waking, sleepy breathing, sleeping after lunch, sweating at night, can cause the indication. It is not the patient's tired awakening or sweating; the risk of cardiovascular diseases can be increased by many different mechanisms, such as hypertension elevations caused by decreased blood oxygen levels during sleep, and secretion of anti-insulin stress hormones in those with large tonsils.

Perhaps the slogans about the "Bloodless, knifeless, painless tonsillectomy - bloodless, knifeless painless tonsillectomy - Thermal welding tonsillectomy", which has become popular in recent years as the best method of tonsillectomy, is emphasized to be a bit exaggerated. It would be more accurate to call it "bloodless" or "much more bloodless" for the slogan "more bloodless tonsil surgery" because there is almost no blood from the surgery at the time of surgery, but in adults and patients who have had tonsilitis beforehand, the tonsil capsule may be more adherent, A few drops of blood can be seen in patients with excessive vasculature. It would be more accurate to say that it is "quite painless" instead of the "painless tonsil operation" slogan, or that it "significantly reduces post-operative pain." Imagine that with a fine needle, you can feel pain in the area of the needle application for 1 week if you are a needle from the shoulder or hindquarters. According to "thermal welding and tonsil operation" which is a method that significantly reduces the risk of heat dissipation and heat damage to the tissue outside the tonsil tissue compared to other methods, if the burner and the stopping mode of the device are not used during the procedure, a considerable difference is created in terms of postoperative pain. Nevertheless, "painless" is a bit exaggerated, but when used correctly, pain is much less with thrmal welding device than with other methods after tonsillectomy. The slogan "without knife" is accurate and the probe of the thermal welding device is sufficient for the complete removal of the tonsils and no additional metal is needed to cut or remove the tonsils.

We performed tonsillectomy with a thermal welding device in our patient who had both tonsils and signs of sleep apnea. You can find images before and after the above and below photos. I generally prefer not to sew with the suture materials that melt the pledgets between the front and the back of the tonsils and inject the local anesthetic into the area where the tonsils are taken. If you enlarge photos, you can see small pinholes and purple stitches that do not have charring due to heat damage.

Thermal welding tonsillectomy - Tonsillectomy in Istanbul - Tonsil removal in Istanbul - Bloodless, knifeless, painless tonsillectomy in Istanbul - Treatment of big tonsils