NEW TECHNIQUES IN TONSIL & SNORING SURGERY


LASER This cutting beam coagulates small blood vessels as it cuts, which results in less bleeding. This is a removal procedure, the whole tonsil is taken out. There is some thought it may improve post-operative discomfort and could shorten recovery phase. The procedure does create a burning sensation, which can hurt.

RADIOFREQUENCY  Relies on an electrosurgical instrument that produces pulses of heat.


RADIOFREQUENCY-ASSISTED UVULOPLASTY The uvula and palate are trimmed with a radiofrequency electrode.  The procedure is identical to laser-assisted uvulopalatoplasty (LAUP)

COBLATION This procedure reduces collateral tissue damage by replacing the extreme heat of the laser and RF devices with gentle heating of the tissues.  It is very useful for the removal of adenoids in children.  Coblation is also used to reduce the size of the turbinates.

SOMNOPLASTY  originally marketed for treatment of snoring. This needle-shaped radio frequency instrument has been used to shrink the tonsil. The tonsil is actually burned to shrink to about 70 percent of the original size. The question remains whether or not a reduced tonsil can still cause infections.

HARMONIC SCALPEL Cuts tissue with ultrasound vibrations. This method uses low temperatures so it won't burn other tissues.
*Associated Press November 1, 2000 
BECHARA Y. GHORAYEB, MD          1140 BUSINESS CENTER DRIVE, SUITE 560             HOUSTON, TX 77043          FOR APPOINTMENTS, CALL: (713) 464 2614
Coblation of the turbinates
Click picture for more information on the harmonic scalpel
New Technique for Parathyroidectomy

The use of Technetium 99 Sestamibi and a new tool called Neoprobe allow fast localization of parathyroid adenomas and their removal through small incisions, without having to explore the other three parathyroids. This is called minimally invasive radioguided parathyroidectomy (MIRP).
This page was last updated on: October 4, 2014