DR. EMİN TUNÇKAŞIK
Innovations in Tonsil and Adenoid Surgery
In recent years, new devices and technologies have been used in tonsil and adenoid surgeries.
Although it is generally considered necessary to remove the tonsils completely as a general approach in patients with tonsil problems, it has been widely practiced in modern medicine recently that the tonsils are not completely removed and reduced in patients who do not have frequent tonsillitis and cause complaints such as snoring, snoring during sleep and difficulty in swallowing due to the size of the tonsils. In both types of tonsil surgery, the risk of bleeding during and after surgery and post-operative sore throat are the most important problems for patients undergoing these surgeries. In the methods called classical cold dissection, which are normally applied, the tonsils are removed using knives and scissors. In new technologies, this operation is performed with heat energy and ultrasonic technology that do not harm the tissue. With new technology devices, both the complete removal of the tonsils and the reduction of the tonsils can be performed more safely, faster, with less pain in the postoperative period and with a lower risk of bleeding. These methods also shorten the duration of anesthesia as they reduce bleeding during surgery. Methods such as thermal whelding, coblation, radiofrequency, harmonic scalpel are among these latest technologies. These methods are successfully applied in our clinic.
The classical method used to take adenoids is to scrape the adenoid blindly with instruments inserted through the mouth. This surgery can be performed with less bleeding with radiofrequency and coblation devices, which are new technologies. Again, as a modern approach, it is possible to perform this surgery with new technology tools called microdebrider under direct vision by looking through the nose with cameras. Bleeding can be controlled more effectively and safely in adenoid surgery with electric bipolar cautery specially designed in accordance with the inclination of the nasal region. These technical facilities and equipment are available in our clinic.