Tonsillectomy by laser

Today I operated on an 18 year old female, who suffered with bad recurrent tonsillitis, tonsil stones, intermittant bad breath – a fairly typical picture. Under general anaesthetic, using a metal endotracheal tube, with the face covered in wet swabs (all laser safety precautions), tonsillectomy was carried out using a microscope and micromanipulator for high magnification – enabling close inspection of the capsule, such that it remained intact (mostly!). This intracapsular technique means that the muscle of the throat (superior constrictor) and main blood vessels running around the tonsils, are not exposed or ruptured. Thus blood loss during surgery is minimal, often zero. Plus postoperative pain, according to a randomised matched study by us, is less than a quarter of tradtional dissection tonsillectomy, which removes the capsule. Most of our patients eat normally for the entire postoperative period – albeit with pain, but moderate and controlled with painkillers. They are often back at school/work 2 to 3 days postop.
The downside of this procedure is the higher revision rate – the need to redo the op for persistent symptoms a year or so down the line. Traditional tonsillectomy has a revision rate of 1%, ours is 2%.

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Mike Dilkes MS FRCS(ORL-HNS), FRCSEd, FRCS

Mike Dilkes Health Hub @ Herne Hill is South London's private medical center. HealthHub has the resources required to run a full clinic service for the majority of medical specialities. From blood tests and prescriptions, to sports injuries and sports medicine.

Patients can book consultations, testing, procedures and surgery, including - Allergies, ENT, Male Health, Botox, Endoscopy, Laser Hair Removal, Minor Injury, Minor Operations, Vaccinations, Travel Vaccinations, Diet, Nutritional Therapy, Snoring and Sleep Apnea Monitoring, Emergency Care and other medical treatments.

Over 10 expert physicians are ready to meet with you, discuss your concerns, and provide the tests and treatments you need -- including: Medically qualified doctors and consultants in Ear Nose and Throat, Head and Neck, and Neurology; Clinical Psychology; Psychotherapy and Counseling; Sexual Psychology and Counseling; Integrative Counselling; Acupuncture; Clinical Sport and Remedial Massage Therapy; and Nutritionist.

Flexible appointments, so you'll quickly see a specialist, with minimal wait in the office.