A clinical trial has compared the recovery times of adults who had undergone laser tonsillotomy under local anesthesia and conventional tonsillectomy with general anesthesia.
The tonsils are a pair of soft tissue masses in the back of the mouth and the top of the throat. They help to filter out bacteria and other germs to prevent infection in the body. A bacterial or viral infection of the tonsils is called tonsillitis. Tonsillitis is a common condition in children, teenagers, and young adults. The symptoms of tonsillitis include a sore throat and pain when swallowing. Although medication and home remedies can help treat tonsillitis, repeated infections of these tissues can necessitate surgical removal.
Tonsillectomy is a common surgical procedure for removing tonsils that are inflamed or infected. However, the conventional tonsillectomy procedure is associated with postoperative complications such as pain, bleeding, and extended recovery times. As a result, newer techniques like laser tonsillotomy have been developed to minimize postoperative complications and reduce recovery times.
The clinical trial compared the recovery times, postoperative pain, and bleeding following conventional and laser tonsil surgeries.
The study recruited 199 adult patients who were randomly assigned to either the laser tonsillotomy group or the conventional tonsillectomy group. The laser tonsillotomy procedure was performed under local anesthesia, while the conventional tonsillectomy was performed under general anesthesia. The patient's functional recovery was measured along with the time to return to work after surgery, resolution of primary symptoms, the severity of remaining symptoms, surgical complications, postoperative pain, analgesics use, and overall patient satisfaction.
The results of this clinical trial showed that two weeks after surgery, 72 (77%) patients in the tonsillotomy (laser) group fully recovered compared with 26 (57%) patients in the tonsillectomy group. The average time until return to work within 2 weeks was also shorter after tonsillotomy (laser) compared to tonsillectomy (4.5 days vs. 12 days). Additionally, postoperative bleeding was also lower in the laser tonsillotomy group.
These results suggest that people who underwent laser tonsillotomy recovered earlier from the surgery and were able to resume their normal day-to-day activities sooner than the tonsillectomy group.
The clinical study also found that patients who underwent laser tonsillotomy experienced less postoperative pain compared to those who had conventional tonsillectomy as the laser tonsillotomy procedure is minimally invasive and causes less trauma to the tissues.
In conclusion, the clinical study suggests that laser tonsillotomy under local anesthesia is a more effective and safe technique than conventional tonsillectomy under general anesthesia for adult patients in terms of reducing recovery times, postoperative pain, and bleeding.
JAMA Network Open, Feb-21-22