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Chronic Pharyngitis

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Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...

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Updated: Jun 12, 2025

CO2-Lasertonsillotomy Under Local Anesthesia in Adults

CO2-Lasertonsillotomy Under Local Anesthesia in Adults

Published on: November 6, 2019

Tonsillectomy Versus Tonsillotomy in Pediatric Sleep-Disordered Breathing: A Systematic Review and Multi-subgroup

Jiahong Lao¹, Feitong Jian¹, Rongrong Ge¹

¹E.N.T. Department, The 3rd Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.

The Laryngoscope

|September 19, 2024

Summary

Tonsillotomy (TT) offers similar symptom relief for obstructive sleep-disordered breathing (oSDB) as tonsillectomy (TE) in children. However, TT has a higher risk of recurrence and reoperation despite faster recovery and less bleeding.

Keywords:

coblation microdebrider pediatric obstructive sleep‐disordered breathing tonsillectomy tonsillotomy

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Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea

Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea

Published on: December 6, 2016

Area of Science:

Otolaryngology
Pediatric Surgery
Sleep Medicine

Background:

Obstructive sleep-disordered breathing (oSDB) significantly impacts children's health and quality of life.
Tonsillectomy (TE) is a common treatment, but tonsillotomy (TT) is explored as a less invasive alternative.

Purpose of the Study:

To compare the efficacy and safety of tonsillotomy (TT) versus tonsillectomy (TE) in pediatric patients with oSDB.
To evaluate short- and long-term postoperative outcomes for both procedures.

Main Methods:

A systematic review and meta-analysis of controlled studies comparing TT and TE in children with oSDB.
Searched major databases including PubMed, Cochrane Library, and Embase.
Analyzed 32 studies involving 9,430 children.

Main Results:

TT showed comparable therapeutic effects to TE on OSA-18 scores.
TT resulted in shorter recovery times, less analgesic use, and reduced bleeding.
However, TT was associated with significantly higher risks of reoperation, oSDB recurrence, and postoperative infection.

Conclusions:

Tonsillotomy offers benefits like reduced pain, bleeding, and faster recovery for pediatric oSDB.
The increased risk of residual tonsil tissue issues and reoperation necessitates careful consideration of TT's long-term risks versus short-term advantages.