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Updated: Jun 5, 2026

CO2-Lasertonsillotomy Under Local Anesthesia in Adults

CO₂-Lasertonsillotomy Under Local Anesthesia in Adults

Published on: November 6, 2019

Tonsillar carcinoma in the contralateral tonsil.

Raymond O Smith¹, Krishna Pokala, Jesus E Medina

¹Department of Otorhinolaryngology, University of Oklahoma Health Science Center, Oklahoma City, OK, USA.

The Laryngoscope

|January 13, 2011

Summary

This summary is machine-generated.

Patients treated for tonsil cancer may develop a second primary cancer in the opposite tonsil. This case series highlights the occurrence of bilateral tonsillar carcinoma, prompting consideration for prophylactic contralateral tonsillectomy.

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Area of Science:

Head and Neck Surgery
Oncology
Otolaryngology

Background:

Carcinoma of the tonsil is a significant diagnosis in head and neck oncology.
The occurrence of bilateral or synchronous/metachronous second primary tonsillar cancers is uncommon but clinically relevant.

Observation:

A case series identified four patients with tonsillar carcinoma.
These patients either presented with bilateral tonsillar tumors or developed a contralateral tonsillar tumor after initial treatment.

Findings:

One patient had bilateral occult tonsillar primaries with metastatic cervical lymph nodes.
Three patients developed a subsequent carcinoma in the contralateral tonsil after treatment for an initial tonsillar primary.

Implications:

This series suggests a subset of patients with unilateral tonsillar carcinoma may benefit from contralateral tonsil removal at initial surgery.
Prophylactic contralateral tonsillectomy could potentially reduce morbidity and mortality associated with secondary contralateral tonsillar cancer.