EVALUATION OF TREATMENT OUTCOMES OF CHRONIC TONSILITIS USING CO2 LASER TONSILLECTOMY AT XUYEN A VINH LONG HOSPITAL
Nội dung chính của bài viết
Tóm tắt
Introduction: Tonsillectomy is necessary when recurrent tonsillitis occurs frequently, aiming to prevent complications. It is an effective and cost-efficient treatment. CO2 laser tonsillectomy has been proven to provide good bleeding control, as the CO2 laser functions both as a surgical scalpel and a hemostatic tool.
Objective: To evaluate the effectiveness of CO2 laser tonsillectomy in patients with chronic tonsillitis indicated for surgery.
Subjects and Methods: A prospective cross-sectional descriptive study with intervention.
Patients diagnosed with chronic tonsillitis who underwent laser tonsillectomy at Xuyen A Vinh Long Hospital from 2023 to 2024 were included.
Results: A total of 74 patients underwent laser tonsillectomy, of which 35.1% were male and 64.9% female. The patients’ ages ranged from 5 to 59 years, with a mean age of 34.28 ± 12.73. All patients showed good postoperative outcomes. Most patients experienced blood loss of less than 5 ml, accounting for 58.1%. The average length of hospital stay was 2.88 ± 1.40 days. On average, normal eating resumed after 8.77 ± 2.04 days, and normal activities after 6.08 ± 2.37 days.
Conclusion: CO2 laser tonsillectomy for chronic tonsillitis provides good treatment outcomes, regardless of hypertrophy grading. It helps reduce blood loss and shortens postoperative recovery time.
Từ khóa
chronic tonsillitis, CO2 laser, tonsils, blood loss, pain
Chi tiết bài viết
Tài liệu tham khảo
2. Duy, V.L (2013) Outcome Evaluation of Tonsillectomy using CO2 Laser,Thesis, Ha Noi Medical University.
3. Son, N.T (2016) Palatine tonsillitis. In: Otorhinolaryngology. Vol. 2. Ho Chi Minh City: Ho Chi Minh City Medical Publishing House; p. 463-481
4. L. Dwyer-Hemmings (2018) "'A Wicked Operation'? Tonsillectomy in Twentieth-Century Britain". Med Hist, 62 (2), 217-241.
5. João Flávio Nogueira Júnior, Diego Rodrigo Hermann, Ronaldo dos Reis Américo, Raquel Garcia Stamm, Cleonice Watashi Hirata (2006) "A Brief History of Tonsillectomy". Arq. Int. Otorrinolaringol, 10 (4), 314-317.
6. Hoang Anh (2015) Outcome evaluation of tonsillectomy using plasma knife at the Otorhinolaryngology Department, Master's thesis, Hanoi medical university.
7. J. Ahmed, A. Arya (2021) "Lasers in Tonsillectomy: Revisited With Systematic Review". Ear Nose Throat J, 100 (1_suppl), 14S-18S.
8. Anh, N.T.N (2023) "Outcome evaluation of CO2 laser tonsillectomy at the Otorhinolaryngology Department at Thai Nguyen Central Hospital". Vietnam Journal of Otorhinolaryngology, (1), 38-48.
9. Kien. T.C, Nam, Q.T, (2022) "Description of clinical features and histopathology of chronic tonsilitis at 103 Military Hospital". Military Medical journal of Medicine and Pharmacy, 9, 108-122.
10. Tiem, N.V, (2019) Outcome evaluation of monopolar electrosurgery tonsillectomy at Yen Phong district Hospital Bac Ninh, Thesis, Thai Nguyen University of Medicine and Pharmacy.
11. Thanh, Đ, X, (2023) "Clinical charateristics and outcomes of tonsillectomy using plasma knife at 110 Military Hospital,from 10/2019-3/2023". Military Medical Journal, (366), 44-48.
12. A. Tsikopoulos, A. Fountarlis, K. Tsikopoulos, F. Dilmperis, I. Tsikopoulos, et al. (2023) "CO(2) laser or dissection tonsillectomy: A systematic review and meta-analysis of clinical outcomes". Auris Nasus Larynx, 50 (1), 2-16.
13. Heloisa Juliana Zabeu Rossi Costa, Renata Cantisani Di Francesco, Suzana Maria Giancoli, Fernando Mathias Pereira de Miranda, Ricardo Ferreira Bento (2022) "Tonsillotomy by a Fractional Carbon Dioxide Laser: A New Technique in the Treatment of Chronic Tonsillitis". Journal of Lasers in Medical Sciences, 13, e51.