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Updated: May 23, 2026

CO2-Lasertonsillotomy Under Local Anesthesia in Adults

CO₂-Lasertonsillotomy Under Local Anesthesia in Adults

Published on: November 6, 2019

Pediatric lingual tonsillectomy.

Stephen C Maturo¹, Christopher J Hartnick

¹Department of Otolaryngology, San Antonio Military Medical Center, Fort Sam Houston, TX, USA.

Advances in Oto-Rhino-Laryngology

|April 5, 2012

Summary

This summary is machine-generated.

Lingual tonsillectomy may treat persistent pediatric obstructive sleep apnea after tonsillectomy and adenoidectomy. This chapter details a technique to overcome challenges like poor visualization and pain for successful lingual tonsil removal.

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Area of Science:

Otolaryngology
Pediatric Surgery
Sleep Medicine

Background:

Tonsillectomy and adenoidectomy effectively treat pediatric obstructive sleep apnea (OSA).
Persistent OSA occurs in up to 20% of pediatric patients post-tonsillectomy and adenoidectomy.
The lingual tonsil is a potential occult obstruction site in these cases.

Purpose of the Study:

To describe a preferred surgical technique for lingual tonsillectomy.
To provide surgical pearls for managing challenges associated with lingual tonsillectomy.

Main Methods:

Detailed description of a specific lingual tonsillectomy technique.
Emphasis on strategies for improved access, visualization, and hemostasis.
Discussion of methods to manage airway edema and postoperative pain.

Main Results:

The described technique aims to facilitate lingual tonsillectomy.
Surgical pearls are provided to enhance procedural success.
Addresses common difficulties including access, edema, pain, and bleeding.

Conclusions:

Lingual tonsillectomy is a viable option for select pediatric OSA patients with persistent disease.
The presented technique and pearls can improve outcomes for this challenging procedure.