Partial resection of tonsils - tonsillotomy; analysis of indications and assessment of treatment results in children in the Otolaryngology Clinic of the Medical University of Wrocław, 1989-1998

Jerzy Rak, Lucyna Pośpiech, Marek Bochnia, Agnieszka Jabłonka

Summary
During the last 10 years our clinic has performed 432 partial resections of palatine tonsils - unilateral and bilateral tonsillotomy. The number of surgical interventions has been increasing significantly in line with the frequency of obstructive sleep apnoea diagnosis in small children. Hypertrophic pharyngeal and palatine tonsils (usually showing no symptoms of inflammation) are the cause of sleep apnoea in the majority of children. Surgical treatment with this method gives good results, and complications, such as bleeding in the early postoperative period or inflammation of the remaining tonsillar and peritonsilar tissue later are noted in very few cases, with a frequency comparable to that observed after tonsillectomy. Thus complications cannot provide an argument against this surgery which is deemed less radical when compared to tonsillectomy.

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