Coblation® Tonsillectomy
Coblation® tonsillectomies, a gentle alternative for removing tonsils that reduces pain and recovery time up to 70 percent, are now available with us. Unlike harsh traditional tonsillectomy procedures, coblation combines gentle radio frequency energy with natural saline to quickly remove tonsils. The newer procedure results in less pain after surgery and quicker recoveries. In many cases, children who have the procedures on Friday are back to school on Monday.
Tonsils are ball-like areas of soft tissue on both sides of the throat. They help the body fight infection by filtering out germs that enter the body through the mouth and nose. There are other tissues like the tonsils that help filter out germs too. They are called the adenoids.
The adenoids also help the body fight off infection. The adenoids are the areas of soft tissue right behind the nose.
Sometimes the tonsils and/or the adenoids are so enlarged that they block the throat and breathing airway. This can cause difficulty breathing and other serious health problems. A child’s doctor may call this condition tonsillar hypertrophy or obstruction. While helping the body fight off germs, the tonsils and adenoids may also get infected. If the infection is great enough to cause inflammation, this condition is called tonsillitis.
Tonsillectomy is a surgery in which the tonsils are removed from the throat. An adenoidectomy is a similar surgery that removes the adenoids.
The tonsils may be removed for two main reasons:
- Obstruction: The most common reason tonsils are removed is because they are so large that they block or obstruct the throat. This may cause difficulty in breathing or even more serious health problems.
- Chronic infection: Chronic or recurring infections in the tonsils can lead to chronic tonsillitis. Removing the tonsils can help reduce the number of throat infections.
If a child has enlarged or swollen tonsils, a physician may call this obstruction. Obstruction means the tonsils are so large that they are blocking part of the breathing airway and/or the throat. Today, 75 percent of all tonsillectomies are performed for this reason. Symptoms of obstruction may include:
- Snoring
- Loud and/or laboured breathing
- Severe difficulty swallowing
- Mouth breathing
- Frequent and disruptive gasping or snorting noises
The problems caused by obstruction vary from child to child. Some children may have difficulty breathing, while others may have more serious problems, like sleep-disordered breathing or even heart problems
Sleep-disordered breathing is a condition in which people do not breathe properly while sleeping. Obstructive sleep apnea (OSA) is a sleep disorder that causes a blockage in the airway during sleep causing breathing to stop. OSA is usually chronic, causing breathing to stop several times during the night.
Symptoms of sleep-disordered breathing may include in children younger than five:
- Gasping for air while sleeping
- Breathing stops while sleeping
- Breathing through the mouth while sleeping
- Regularly waking up in the middle of the night
- Daily irritability
- Restlessness
- Snoring every night
In addition to these, in children older than five symptoms include:
- Bed wetting at night
- Behavioral problems
- Shortened attention span
- Abnormally low weight, weight gain and appetite for their age
If left untreated, sleep-disordered breathing problems, such as pediatric obstructive sleep apnea, could lead to much more serious health issues such as:
- Poor growth: During sleep, the body usually releases a hormone that helps it grow. If a child is constantly waking up during the night, his or her body may not be releasing a regular amount of this growth hormone resulting in slowed growth.
- Bedwetting at night: Waking up in the middle of the night could increase the amount of urine that the body makes, leading to bedwetting.
- Sleep deprivation: If a child wakes up constantly at night, he or she may not be getting enough sleep. This could lead to mood swings, a decrease in their energy and happiness, and even obesity.
- Psychological behavioural or emotional problems: Interrupted sleep caused by sleep disordered breathing can lead to problems such as depression, attention deficit hyperactivity disorder (ADHD) and obesity.
However, there is good news. Studies have shown that after undergoing tonsillectomy and/or adenoidectomy for obstructive symptoms, many of these problems could be resolved.
Tonsillitis refers to the inflammation of the tonsils caused by an infection. Recurring infections in the tonsils could lead to chronic tonsillitis and other chronic infections. Tonsillitis is usually contagious and is spread just like a cold; that is, through coughing, sneezing, etc.
Viruses and bacteria can cause tonsillitis. A weak immune system may also lead to tonsil infection. Almost all children get at least one tonsil infection in their lifetime.
The symptoms of tonsillitis include:
- Fever
- Persistent sore throat
- Redness of the tonsil area
- Yellow discharge on the tonsils
- Tender lymph nodes on both sides of the neck
Infections in the tonsils and adenoids that keep coming back are called chronic infections. If these infections are not stopped, they could cause more serious health problems.
A child’s doctor may first prescribe antibiotics to fight infections. If antibiotics do not work, the doctor may recommend tonsillectomy and/or adenoidectomy. Removing the tonsils and/or adenoids helps to prevent infections from coming back.
Doctors typically recommend removing the tonsils for chronic tonsillitis based on the following guidelines:
- Three to four episodes of infectious tonsillitis per year for three years in a row
- Five episodes of infectious tonsillitis in one year
- Seven episodes of infectious tonsillitis in two years
Coblation® Tonsillectomy and Adenoidectomy is a gentler way to remove both the tonsils and adenoids. This innovative surgery results in very little pain and fast recovery for patients.
Derived from the term “controlled ablation,” Coblation® removes or ablates tonsil tissue with little harm to surrounding healthy tissue.
Coblation® is not a heat-driven process, therefore it does not char or burn healthy tissue like conventional electrosurgery and laser surgery. It combines radiofrequency energy with a natural saline solution to gently and precisely remove tissue leading to a fast and easier recovery.
Coblation® technology has been used in more than 2 million surgeries, including more than 500,000 ear, nose and throat surgeries.
Older ways of removing the tonsils and adenoids include cutting or burning. These methods could cause extensive pain and may damage healthy tissue around the tissue that is removed. Coblation® is an advanced technology that uses gentle radiofrequency energy with a saline solution—to quickly and safely remove tonsils and adenoids. Coblation® does not remove the tonsils or adenoids by heating or burning preserving healthy surrounding tissue.
- Fewer ‘bad days’—Patients report a better overall experience with Coblation® Tonsillectomy after surgery when compared to other procedures. Studies show that patient calls and visits to the doctor due to problems after surgery are significantly less with Coblation® Tonsillectomy.
- Faster recovery—Coblation® Tonsillectomy has been shown in clinical studies to speed a child’s return to normal activity and diet. On average, patients return to a normal diet in 2.4 days after Coblation®, versus 7.6 days after electrocautery.
- Less pain—Coblation® Tonsillectomy has also been shown to decrease pain and use of medications after the procedure.
All tonsillectomy procedures have the same general risks. Parents should consult a physician about the possible risks and complications that may result from a procedure involving general anesthesia, Coblation® Tonsillectomy Surgeon in Ahmedabad, Coblation® Tonsillectomy Surgery in Ahmedabad, Gujarat, India. Meet Dr. Manish Goyal for Coblation® Tonsillectomy treatment, Contact Dr.Manish Goyal at +919979891672 for Coblation® Tonsillectomy Surgery.
“COBLATION is a registered trademark of Arthrocare Corporation, a subsidiary of Smith and Nephew,Inc.The mark Coblation is being referred to only as a technology for conducting ENT surgeries and all intellectual property rights vest with the registered proprietor”