Nasopharyngeal Obstruction: A Rare Post Laser Assisted Tonsillectomy Complication

K. P.  Morwani; Amol  Patil; Gaurav  Ahluwalia

doi:10.4236/ijohns.2016.52014

K. P. Morwani, Amol Patil, Gaurav Ahluwalia^*

Abstract: Tonsillectomy once was a most common ENT procedure, being referred in past as the “bread and butter of otorhinolaryngologists” though not so commonly performed these days. The usual complications of this procedure have been haemorrhage-primary/reactionary/secondary, infection, tonsillar bed structures injury, and even death. With the advent of newer technologies like lasers, microdebriders, coblators, harmonic scalpel, radiofrequency, newer complications also arise. This case report focuses on one such complication of laser assisted tonsillectomy, not much spoken of in books.

Keywords: Laser Assisted Tonsillectomy, Nasopharynx, Posterior Pharyngeal Wall, Palatopharyngeal Arch, Uvula

Cite this paper: Morwani, K. , Patil, A. and Ahluwalia, G. (2016) Nasopharyngeal Obstruction: A Rare Post Laser Assisted Tonsillectomy Complication. International Journal of Otolaryngology and Head & Neck Surgery, 5, 84-89. doi: 10.4236/ijohns.2016.52014.

References

[1] Ishlah, L.W., Fahmi, A.M. and Srinovianti, N. (2005) Laser versus Dissection Technique of Tonsillectomy. The Medical Journal of Malaysia, 60, 76-80.

[2] Blue Cross of Idaho Website.

[3] Tonsillectomy Using Laser, National Institute for Health and Clinical Excellence, July 2006.

[4] Kothari, P., Patel, S., Brown, P., et al. (2002) A Prospective Double-Blind Randomized Controlled Trial Comparing the Suitability of KTP Laser Tonsillectomy with Conventional Dissection Tonsillectomy for Day Case Surgery. Clinical Otolaryngology & Allied Sciences, 27, 369-373.
http://dx.doi.org/10.1046/j.1365-2273.2002.00596.x

[5] Auf, I., Osborne, J.E., Sparkes, C., et al. (1997) Is the KTP Laser Effective in Tonsillectomy? Clinical Otolaryngology & Allied Sciences, 22, 145-146
http://dx.doi.org/10.1046/j.1365-2273.1997.d01-305.x

[6] D’Eredita, R. and Marsh, R.R (2004) Contact Diode Laser Tonsillectomy in Children. Otolaryngology—Head & Neck Surgery, 131, 732-735.
http://dx.doi.org/10.1016/j.otohns.2004.04.031

[7] Strunk, C.L. and Nichols, M.L. (1990) A Comparison of the KTP/532-Laser Tonsillectomy vs. Traditional Dissection/ Snare Tonsillectomy. Otolaryngology—Head & Neck Surgery, 103, 966-971.

[8] Saito, T., Honda, N. and Saito, H. (1999) Advantage and Disadvantage of KTP-532 Laser Tonsillectomy Compared with Conventional Method. Auris, Nasus, Larynx, 26, 447-452.
http://dx.doi.org/10.1016/S0385-8146(99)00025-5

[9] Oas Jr., R.E. and Bartels, J.P. (1990) KTP-532 Laser Tonsillectomy: A Comparison with Standard Technique. Laryngoscope, 100, 385-388.
http://dx.doi.org/10.1288/00005537-199004000-00010

[10] Krespi, Y.P. and Ling, E.H. (1994) Laser-Assisted Serial Tonsillectomy. Journal of Otolaryngology, 23, 325-327.

[11] Remacle, M., Keghian, J., Lawson, G., et al. (2003) Carbon-Dioxide Laser-Assisted Tonsi Ablation for Adults with Chronic Tonsillitis: A 6-Month Follow-Up Study. European Archives of Oto-Rhino-Laryngology, 260, 456-491.
http://dx.doi.org/10.1007/s00405-003-0600-4