Coblation cryptolysis method in treatment of tonsil caseum-induced halitosis
Autor: | Cigdem Firat Koca, Omer Erdur, Osman Vefa Gul, Seyma Yasar, Turgut Celik |
---|---|
Rok vydání: | 2021 |
Předmět: |
Adult
Male Adolescent Palatine Tonsil Dentistry 03 medical and health sciences Young Adult 0302 clinical medicine Electrical current Medicine Humans Minimally Invasive Surgical Procedures 030223 otorhinolaryngology Tonsillectomy Alternative methods business.industry Treatment method Calcinosis Caseous tonsillitis Halitosis Pharyngeal Diseases Tonsillitis medicine.anatomical_structure Treatment Outcome Otorhinolaryngology 030220 oncology & carcinogenesis Tonsil Chronic Disease Catheter Ablation Female Safety business Complication Follow-Up Studies |
Zdroj: | American journal of otolaryngology. 42(6) |
ISSN: | 1532-818X |
Popis: | Halitosis, is a social problem affecting many patients seeking help from clinicians. Tonsil stones can cause halitosis and especially occur in crypts of palatine tonsils. Coblation cryptolysis is an alternative method for tonsil caseum treatment. The coblation technology includes passing a radiofrequency bipolar electrical current through a medium of normal saline which results in the production of a plasma field of sodium ions. In this study, our aim was to investigate the effectiveness of coblator cryptolysis treatment method in chronic caseous tonsillitis-induced halitosis.We included in our study 28 patients who underwent coblator cryptolysis surgery for halitosis due to chronic caseous tonsillitis. The efficacy of treatment and the presence of caseoma were evaluated with the Finkelstein test, organoleptic test and VAS before the procedure and at the 6th month control after the treatment was completed.At the 6th month follow-up after the procedure (a single coblation cryptolysis) we found that 23 of the patients (82.1%) had no caseum. There was a statistically significant change in Finkelstein measurements before and after the procedure (p 0.001). Organoleptic measurements demonstrated that 21 patients had no halitosis postoperatively and the mean organoleptic test score was calculated as 0.39 ± 0.79 after the procedure. The recovery was statistically significant (p 0.001). The mean VAS score before coblation cryptolysis was 8.0 ± 1.33 (range 5-10). On the other hand 6 months after a single coblation cryptolysis session, the mean VAS score was 1.25 ± 1.78 (range: 0-6). This difference was statistically significant (p 0.001).Our results suggest that coblation crptolysis is an effective, safe, minimally invasive and practical alternative method in treatment of halitosis due to tonsil caseums. We did not observe any complication after the procedure. |
Databáze: | OpenAIRE |
Externí odkaz: |