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Updated: Jul 15, 2026

CO2-Lasertonsillotomy Under Local Anesthesia in Adults
Published on: November 6, 2019
Tonsillectomy with thermal welding technology using the TLS(2) thermal ligating shear.
Alexandros D Karatzanis1, Constantinos A Bourolias, Emmanuel P Prokopakis
1Department of Otolaryngology, University of Crete School of Medicine, Heraklion, Crete, Greece.
Thermal Welding Technology (TWT) with the TLS(2) handpiece offers a safe and effective new method for pediatric tonsillectomy. This technique significantly reduces operative time and minimizes bleeding, improving patient outcomes.
Area of Science:
- Otolaryngology
- Surgical Technology
- Pediatric Surgery
Background:
- Tonsillectomy is a common pediatric surgical procedure.
- Traditional methods carry risks of bleeding and prolonged operative times.
- Newer technologies aim to improve safety and efficiency.
Purpose of the Study:
- To evaluate the efficacy and safety of tonsillectomy using Thermal Welding Technology (TWT).
- To assess the performance of the TLS(2) handpiece in pediatric tonsillectomy.
Main Methods:
- A prospective study involving 60 pediatric patients undergoing tonsillectomy.
- Utilized TWT with the TLS(2) handpiece, a device combining heat and pressure for tissue coagulation and division.
- Inclusion criteria: obstructive sleep apnea, peritonsillar abscess history, chronic tonsillitis.
Main Results:
- No intraoperative bleeding was observed in any of the 60 cases.
- The average operative time was 20 minutes.
- One instance of postoperative hemorrhage and mild uvula edema in 25 patients were reported.
Conclusions:
- TWT, specifically with the TLS(2) handpiece, is a safe and effective method for pediatric tonsillectomy.
- The TLS(2) handpiece facilitates sufficient hemostasis and reduces operative time.
- This technology presents a valuable advancement in tonsillectomy procedures.
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