Abstract

Enlarged tonsils can cause chronic signs and symptoms of upper airway obstruction in adults and chidden. The condition has been associated with sleep-related breathing disorders such as snoring, upper airway resistance syndrome, and apnea, as well as dysphagia and dysphonia. Temperature-controlled radiofrequency tonsil reduction is a new technique for the treatment of symptomatic tonsil hypertrophy and selected cases of inflammatory cryptic tonsil disease. The technique ablates tonsil tissue while leaving the overlying mucosa relatively intact. Intact mucosa accounts for the minimal pain, risk of bleeding, and infection, and rapid return to a normal diet and activity associated with this procedure. This chapter describes the procedure, and discusses both its advantages and shortcomings.

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