Dr.K.O.Paulose –Fellow of the Royal College of Surgeon (UK)
An Interim Review- Cases done in 2 years
Total number of LAUP/LAPT/LAS/Laser tonsillectomy- 227 cases
37 cases under local anesthetic and 190 cases under GA
Co2 laser was used.
Overall, about 80% patients got better after the procedure.
4 cases had to be repeated, second procedure was done under local anesthetic.
Complication-Mainly pain, mild to moderate in all patients. Temporary nasal regurgitation which lasted 2-3 weeks, in few cases but their snoring and sleep apnea disappeared completely. Reactionary bleeding in 2 cases which was done under Local anesthesia. Nobody complained change in voice.
Causes of failure-Other factors like bulky tongue base, retruding lower jaw, obesity, inadequate removal of tissues causing obstruction.
Coblator channeling and reduction of tongue base can improve the overall result.
I thank all the anesthetists of my team to whom some cases were real challenge in pre and post operative period…
Dr Paulose is an ENT Consultant Plastic and Laser Surgeon with over 35 years of experience covering in Ear, Nose and Throat procedures, specializing in Laser Surgery and conventional medicine across India, U.K. and Middle East. He is currently engaged with the Jubilee Hospital, in Kerala, India.
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