Our hypothesis is that CO2 lasertonsillotomy under local anesthesia is followed by a significantly shorter recovery period, that it is an effective treatment for tonsil related complaints and that it has better secondary outcome results compared to…
ID
Bron
Verkorte titel
Aandoening
tonsillitis, tonsillolithiasis, halitosis, dysphagia, OSAS (tonsilrelated),
chronisch/recidiverende tonsillitiden, tonsillolithiasis, halitosis, dysfagie, OSAS (tonsilgerelateerd)
Ondersteuning
LUMC
Viecuri
HMC
ZGT
RdG
MCL
JBZ
Gelderse Vallei
WZA
Amphia
Flevoziekenhuis
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
Number of postoperative recovery days until resumption of daily activities.
Achtergrond van het onderzoek
When conservative treatment fails in patients with tonsil related complaints, a tonsillectomy using the classical dissection technique can be performed.
In adults substantial morbidity following classical tonsillectomy under general anesthesia has been reported. An interesting alternative treatment for a specific selection of adult patients could be the CO2 lasertonsillotomy
under local anesthesia in an outpatient clinical setting.
Several articles describe good treatment results and a decrease in perioperative and postoperative morbidity.
Our hypothesis is that CO2 lasertonsillotomy under local anesthesia is followed by a significantly shorter recovery period, that it is an effective treatment for tonsil related complaints and that it has better secondary outcome results compared to classical tonsillotomy
Doel van het onderzoek
Our hypothesis is that CO2 lasertonsillotomy under local anesthesia is followed by a significantly shorter recovery period, that it is an effective treatment for tonsil related complaints and that it has better secondary outcome results compared to classical tonsillotomy.
Onderzoeksopzet
- pre-intervention
- 2 weeks post-intervention
- 6 weeks post-intervention
- 6 monts post-intervention
- 1 year post-intervention
- 2 year post-intervention
Onderzoeksproduct en/of interventie
- CO2-lasertonsillotomy under local anesthesia
- Cold dissection tonsillectomy
Publiek
Wetenschappelijk
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
- age ≥ 18 years
- tonsilrelated complaints with an indication for intervention
(chronic/rec. tonsillitis, tonsillolithiasis, halitosis, dysphagia, OSAS (tonsilrelated))
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
- not cooperative / restless
- unable to open the mouth for a longer period
- history of peritonsillar abcess
- Friedman grade IV tonsils
- immunocompromised
- hemorrhagic diathesis / use of anticoagulants
- history of allergic reaction to local anesthetics
- in case of significant contra-indication for narcosis
- pregnancy
- extreme gag-reflex
Opzet
Deelname
Opgevolgd door onderstaande (mogelijk meer actuele) registratie
Andere (mogelijk minder actuele) registraties in dit register
Geen registraties gevonden.
In overige registers
Register | ID |
---|---|
NTR-new | NL6866 |
NTR-old | NTR7044 |
CCMO | NL57496.098.16 |
OMON | NL-OMON50550 |