Coblation Adenotonsillotomy is a subtotal removal of the tonsil and adenoid tissue. It has the advantage of being less painful than a traditional tonsillectomy with all the same benefits for sleep apnoea. The risk of bleeding is lower which is especially helpful with young children.
The primary indications for Coblation Adenotonsillectomy are;
This is Dr Morrissey’s preferred technique for all children under 3 years of age and where the main reason for surgery is snoring or sleep apnoea.
Coblation Adenotonsillectomy carries the same general risks as all operations including:
The main significant risk of Coblation Adenotonsillectomy is delayed bleeding, which may occur up to 2 weeks after surgery. It is a relatively rare complication from this form of surgery and is seen in approximately 1 in 500 cases.
There may be treatment alternatives suitable to you or your child that you can discuss with Dr Morrissey. Recurrent infections may respond to antibiotics in some cases while nasal sprays may assist in obstructive sleep apnoea in limited cases.
Coblation Adenotonsillectomy is performed under a general anaesthetic. You will need to fast prior to surgery and should follow the provided instructions. If you have any queries or concerns please contact your Anaesthetist, admitting hospital or Dr Morrissey.
Under a general anaesthetic the adenoids are removed from behind the nose with a special instrument known as a coblation wand. Pressure or cautery is applied to control bleeding.
The tonsils are also removed using the coblation wand and any bleeding is addressed using stitches and/or cautery.
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