Reported May 28,
2003
New Tonsil Procedure for
Kids
SAN JOSE, Calif. (Ivanhoe
Newswire) -- A new study shows
reducing tonsils by
radiofrequency is safe and
effective and could be a better
alternative than surgery for
children.
Temperature-controlled
radiofrequency works by heating
the tissue through an electrode,
which causes the tissue to
shrink. This procedure has been
proven effective in adults who
need their tonsils removed or
shrunk. Researchers from San
Jose, Calif., conducted a study
to determine if this procedure
is safe and effective for
children.
When a child has a
sleep-related breathing
disorder, surgery to remove the
tonsils and adenoids is often
recommended. While this
treatment is effective, it can
also be hard on the child and
parents. The surgery causes
pain, dehydration, weight loss
and there is a chance for
infection. Parents often miss
many days of work to take care
of their child. These problems
are often associated with the
surgical removal of the tonsils,
not the adenoids.
The current study included 10
children who needed their
tonsils and adenoids removed
because of a sleep-related
breathing disorder. The patients
all had radiofrequency to reduce
their tonsils, along with
surgery to remove their
adenoids. The doctor looked at
the tonsil size reduction,
evaluated symptoms, and followed
up with the patients after one
year.
Researchers found the average
tonsil size reduction was 75
percent without any evidence of
regrowth. After the procedure,
all of the children were
drinking liquids in the recovery
room and most were eating some
soft foods within six hours. On
average, the children returned
to normal activities after four
days and the parents missed
about three days of work.
Researchers also report 89
percent of the children had
improvements in snoring. There
were no major complications
reported.
The study shows
radiofrequency for tonsil
reduction is a safe and
effective treatment for
children. However, a larger,
multicenter controlled study is
underway now to confirm these
results.
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SOURCE: Archives of
Otolaryngology,
2003;129:533-537