Abstract
Objective: To define the advantage and disadvantage of Co2 laser tonsillectomy
compared with conventional method.
Material and Method: One hundred patients age 5-15 underwent tonsillectomy. One
tonsil was removed with the Co2 laser and the other was excised with conventional
dissection and snare technique. Patients were not told which tonsil was removed with
laser. Intraoperative blood loss, operation time, pain and healing were compared for
two methods.
Results: In Co2 laser tonsillectomy, there was a significantly reduction in operation
time (5vs11.3 minutes P<0.05) and a significant reduction in intraoperative blood loss
(5vs15ml P<0.005). There was no significant difference in immediate and late post
tonsillectomy hemorrhage, post operative pain, character of leukocytic membrane
separation, epithelialzation and final cicatrisation between two groups .
Conclusion: Co2 laser tonsillectomy reduces operation time and intraoperative blood
loss. (Rawal Med J 2007;32:187-189).
Key words: Co2 laser, tonsillectomy, cold dissection