Application of lingual tonsillectomy to sleep apnea syndrome involving lingual tonsils.
In sleep apnea syndrome, surgical treatment is applied in obstructive-type cases and some mixed-type cases. If the obstructive part is in the root of the tongue, forward transfer of the tongue, lingual tonsillectomy and laser midline glossectomy are applied. In this study, we demonstrate the surgical technique of lingual tonsillectomy using an ultrasonic coagulating dissector (SonoSurg) with a blade tip shape developed in our department. We conclude that lingual tonsillectomy using SonoSurg, which we have frequently used, should be the first choice of treatment for snoring and sleep apnea caused by hypertrophy of the lingual tonsils from the viewpoints of effectiveness, prevention of hemorrhage, safety and handling.
Department of Otolaryngology, The Second Affiliated Hospital, Fujita Health University School of Medicine, Nagoya, Japan. ken-suzu@fujita-hu.ac.jp
Kenji
K
Suzuki
Kenji
K
Kawakatsu
Chikaya
C
Hattori
Hirokazu
H
Hattori
Yoichi
Y
Nishimura
Arata
A
Yonekura
Mikio
M
Yagisawa
Tadao
T
Nishimura
D000328:Adult; D004210:Dissection / Q000295:instrumentation*; D005260:Female; D006801:Humans; D017075:Laser Coagulation / Q000295:instrumentation*; D008297:Male; D014066:Palatine Tonsil / Q000601:surgery*; D020181:Sleep Apnea, Obstructive / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery*; D014059:Tongue / Q000601:surgery*; D014068:Tonsillectomy / Q000295:instrumentation*; D014464:Ultrasonic Therapy / Q000295:instrumentation*; D014463:Ultrasonography