title: A Rare Complication of Radiofrequency Tonsil Ablation: Horner Syndrome.
abstract: Chronic tonsillitis is a common disease, and several different surgical techniques are used to treat this condition. In recent years, techniques such as radiofrequency ablation and coblation have been commonly used for tonsil surgery. In this report, we present the cases of two pediatric patients who developed ptosis, miosis, and enophthalmos (Horner syndrome) after radiofrequency ablation for tonsil reduction and discuss the technique of radiofrequency ablation of the tonsils. In the early postoperative period, miosis and ptosis were observed on the right side in one patient and on the left side in the other patient. Both patients were treated with 1 mg/kg/day methylprednisolone, which were tapered by halving the dose every 3 days. Miosis and ptosis improved after treatment in both patients. Along with the case presentation, we discuss the effectiveness and complications of radiofrequency ablation of the tonsils. These unusual complications of tonsil ablation may help ENT physicians who do not yet have a preferred surgical technique for tonsillectomy to make an informed decision. Limited data are available about the possible complications of radiofrequency ablation of the tonsils. The present report contributes to the literature on this topic.
authors.affiliation: Department of Otorhinolaryngology, Dumlupinar University, 43235 Kutahya, Turkey.
authors.forename: Cuneyt
authors.identifier: 0000-0003-1494-0653
authors.initials: C
authors.lastname: Kucur
authors.affiliation: Department of Otorhinolaryngology, Dumlupinar University, 43235 Kutahya, Turkey.
authors.forename: Isa
authors.initials: I
authors.lastname: Ozbay
authors.affiliation: Department of Otorhinolaryngology, Dumlupinar University, 43235 Kutahya, Turkey.
authors.forename: Fatih
authors.identifier: 0000-0002-2021-1839
authors.initials: F
authors.lastname: Oghan
authors.affiliation: Department of Otorhinolaryngology, Dumlupinar University, 43235 Kutahya, Turkey.
authors.forename: Nadir
authors.initials: N
authors.lastname: Yildirim
authors.affiliation: Department of Otorhinolaryngology, Dumlupinar University, 43235 Kutahya, Turkey.
authors.forename: Zuhal
authors.initials: Z
authors.lastname: Zeybek Sivas
authors.affiliation: Department of Neurology, Dumlupinar University, 43235 Kutahya, Turkey.
authors.forename: Sibel
authors.initials: S
authors.lastname: Canbaz Kabay