Radiofrequency lacunotomy of the palatine tonsils. Painless removal of tonsils with laser lacunotomy. What is it

Laser lacunotomy - modern way treatment of tonsillitis, which involves removing destroyed tonsils. Unlike traditional tonsillectomy, laser removal of tonsils is less traumatic and allows you to return to normal life within a few days. During the operation, tissues in which pathological changes are noted are cauterized. High-frequency light radiation, including carbon dioxide laser, allows the evaporation of diseased tissue. The high temperature of the laser destroys diseased cells, coagulation is observed when a dead layer is created, under which new cells that are not affected by the disease can develop. Due to this, a therapeutic effect is achieved without further disturbances in the immune system. However, cauterization is not always possible, so in some cases you have to part with the tonsils. Partial removal of tonsils is usually performed if their condition is not advanced.

Indications

The main indication for the procedure is chronic tonsillitis, which cannot be treated with conservative methods. If exacerbations of the disease occur more than 3 times a year, an operation to cauterize the tonsils is indicated.

Also laser treatment tonsils is carried out in the absence of results of conservative treatment at the time acute inflammation. If a sore throat does not subside after a course of antibacterial therapy using a drug to which bacteria are sensitive, laser cauterization of the tonsils is indicated.

The development of complications is another indication for laser treatment. In such a situation, it is necessary to urgently eliminate pathological process in the tonsils, which is why it is used laser therapy. This the only way prevent further development of complications and direct treatment to eliminate problems, without additional use of antibiotics.

Otolaryngologist Ivan Leskov tells whether to remove tonsils or not.

Contraindications

Laser lacunotomy palatine tonsils It also has certain contraindications, the observance of which is necessary. It is strictly prohibited in the following cases:

the moment of exacerbation of chronic tonsillitis with the development of a violent purulent process - first the acute process is removed, and only after that cauterization is carried out. Laser therapy at this point can only be used in exceptional cases;
oncological diseases, regardless of the area of localization of the tumor;
pathologies of the pancreas, including diabetes;
heart failure due to any reason;
lung diseases, in which there is a significant decrease in the lumen of the bronchi;
kidney pathologies;
open tuberculosis;
menstruation;
skin diseases;
untreated caries;
insufficient blood clotting due to low platelet levels - despite the fact that the laser cauterizes the blood vessels, preventing profuse bleeding, there is always a risk of damage to the main vessel, which results in significant blood loss, which can pose a serious danger if blood clotting is insufficient;
pregnancy;
breastfeeding period;
children's age from 1 year to 10 years. Children undergo such treatment in exceptional cases when emergency indications when other therapy is impossible, and leaving the tonsils without treatment poses a threat to life.

If contraindications are identified, the otolaryngologist selects another therapy that is acceptable in a particular condition. This can be either various conservative treatment of tonsils or traditional surgery to excise the tonsils, as, for example, in the case of cancer.

Types, advantages and disadvantages

Today, 4 types of laser treatment for tonsils are used. The choice of method depends on the degree of damage to the throat and general condition sick.

Cauterization (laser destruction). The procedure uses a holmium laser. During cauterization, scars are dissected and foci of inflammation inside the tonsils are destroyed, as well as lacunae are cleaned and expanded. Healthy tissues are not damaged, which minimizes the recovery period.
Ablation is used if the pathological process affects a large area of the tonsils. Using laser and fiber optics, the top layer of tissue is removed. During the procedure, the lacunae expand significantly and the process of tissue renewal begins, and after it there is a particularly strong release of purulent plugs. Complete cleansing the tonsil is fixed after 2.5-3 months.
Tonsillotomy. This type of treatment is used when severe defeat parts of the tonsil. Using an infrared laser, only the diseased area is excised. The healthy portion of the tonsil remains functional. Such partial removal is often used in childhood and adolescence to eliminate defects in the structure of the tonsils, which cause chronic tonsillitis.
Tonsillectomy. The operation is performed if the tonsil is completely destroyed and restoration of its tissue is not possible. Lymphoid tissue is completely removed by laser. The edges of the wound are baked due to the high temperature emitted by the laser. Thanks to this, the risk of wound infection during the healing process is eliminated and the recovery period is reduced.

The advantages of laser treatment of tonsils are recognized by doctors as follows:

local anesthesia - all manipulations are performed only under local anesthesia, in contrast to a standard operation, which requires general anesthesia;
speed of the operation - it takes no more than 30 minutes;
the rehabilitation period is no more than 4 days with complete removal of the tonsils;
outpatient cauterization and partial removal;
minimal or no bleeding;
reducing the risk of complications to a minimum;
prevention of damage to healthy tissue;
absence of pain after surgery after the local anesthesia wears off;
complete antiseptic by cauterizing the wound.

The positive aspects of using laser in the treatment of tonsils have made lacunotomy with its use very common.

This method of treatment has practically no disadvantages. With it, if according to indications the tonsils should not be completely removed, the risk of recurrence of sore throat remains in a few years. Also a relative disadvantage is high price operations. It can only be carried out by a highly qualified specialist, which significantly increases the price.

Carrying out the operation

Performing surgery using a laser is a low-traumatic intervention, which is why in most cases it is performed on an outpatient basis.

Preparation

Complicated preparation before the operation is not required. After its appointment it is surrendered general analysis blood and biochemical. A throat swab may also be required with further microscopic examination and sowing on a nutrient medium. Rehabilitation is underway oral cavity.

In the evening before surgery, in case of sleep disturbance due to anxiety, taking sedatives. Despite the fact that the laser cauterizes the wound, if necessary, if there is a slight deviation from the norm in blood clotting, the use of agents to increase clotting is indicated for two weeks before the procedure.

On the day of surgery, the last meal is possible 6 hours before the procedure, and you stop drinking water 4 hours before. It is recommended to stop smoking one day before removal of the tonsils. Brushing your teeth is mandatory. No other preparation is required.

Technique

The operation is performed with the patient in a sitting position. With complete excision of lymphoid tissue, anesthesia is carried out by injecting the surgical area with lidocaine. If cauterization is prescribed, the tonsils are lubricated with an anesthetic composition.

The manipulator, which generates the laser beam, is brought to the affected area, but it does not come into contact with it. If lesions are cauterized with pathological changes, no additional equipment required. With complete excision, the tonsil is grabbed and held with special tweezers, then it is trimmed and complete removal. The smell of burnt meat that appears during manipulation is normal.

Postoperative period

When laser therapy on the tonsils has already been carried out, it is important to properly organize the rehabilitation period, as this will minimize the risk of negative consequences and speed up the healing of damage.

exposure to the cold;
eating hard foods;
visit to the bathhouse;
vaporization;
physical exercise;
smoking;
alcohol consumption;
scream;
eating hot and cold food.

eating pureed foods at room temperature;
rinsing with salted water adding 2 drops of iodine per glass;
throat treatment with eucalyptus and propolis sprays;
rinsing with decoctions of medicinal plants such as calendula and chamomile.

Video review of a patient who underwent surgery to remove her tonsils.

Complications and their prevention

If all medical instructions are followed, complications do not arise after the operation. In rare cases, healthy tissue may burn and bleed several days after the intervention. To prevent negative consequences, all manipulations should be performed only by a qualified specialist, and during the recovery period the patient must strictly follow all recommendations.

Attending doctor

Laser lacunotomy is performed by an otolaryngologist who has completed a special training course and has the proper qualifications.

Hello, Dear friends! Today you will learn what lacunotomy of the palatine tonsils is. Why is the procedure necessary, what is it - an operation or not, how is it performed, what will happen next? Look for answers in the article.

Are you tormented by the symptoms of chronic tonsillitis? These frequent inflammations, pain,... Are you ready to remove your tonsils completely? It’s not worth it, since it is a protective filter in our body, and it must be present there.

All without tonsils respiratory infections will immediately penetrate deeper and affect vital organs, the lungs, for example.

But what to do? How to get rid of the disease without harming yourself? I advise you to try a procedure called tonsil lacunotomy! And about what it is, how it is carried out, what it gives, read the article.

What is it - surgery or not?

Lakunotomy is not exactly an operation, but rather a simplified version of it. This is the destruction of the lymphatic tissues surrounding the lacunae of the palatine tonsils (tonsils).

If you explain in simple words, then this is an easy excision of the tonsils, provoking the cleansing of lacunae naturally and regeneration of already healthy tissues.

Thus, this procedure eliminates foci of infection, renews the tissues of the tonsils, increases local immunity, stops chronic tonsillitis, and most importantly, it does all this quickly, painlessly, without knocking a person out of life.

The procedure is very quick, you don’t need to go to the hospital to carry it out, after it you can immediately get back to your business, it has a reasonable price - from 7,000 rubles for two tonsils.

Types of procedure

Today there are 2 techniques for performing the procedure:

1. Laser destruction is the most popular method, the most modern and effective.
2. Radio wave– classic method, has both advantages and disadvantages.

Technique for laser destruction of lymphatic tissue

Laser lacunotomy is now performed using modern equipment, namely carbon dioxide lasers (CO2 lasers).

This is a non-contact method, painless due to the use of local anesthesia, bloodless and minimally traumatic. The procedure is as follows:

The tonsils are anesthetized local anesthesia;
Manipulator special device bring the tonsils to the lacuna at a distance of 2-3 mm;
The laser beam is directed to the edges of the lacuna and causes tissue destruction;
All problematic lacunae (in which pus accumulates) are treated in the same way.

The duration of the operation is 15-30 minutes. After this, the patient can go home. You see, there is nothing wrong with the procedure.

So if you were afraid to try it, then hopefully your fears have been put to rest. Do you want to know how radiofrequency or radio wave lacunotomy of the palatine tonsils is done? If you want, then read the next paragraph of the article.

Technique for radio wave destruction of tonsils

Radio wave lacunotomy is a procedure for reducing enlarged tonsil tissue using the Surgitron apparatus. The main advantage of the method is accelerated healing without deep scars. The procedure is performed as follows:

First, be sure to remove all inflammatory foci in the oral cavity and even dental ones;
Then the tonsils are numbed with local anesthesia;
A thin electrode is brought to the tonsils, each tonsil is treated for several seconds;
After the procedure, the patient can immediately go home, as in the previous case.

Which option is better?

Your ENT specialist will answer this question for you. The fact is that everything is individual - the first method is more suitable for some, the second for others. Both options are worthy of attention and have general benefits and disadvantages, as well as indications and contraindications, which we will now consider.

The main advantages of the above procedures

Bloodlessness;
Painless;
Speed of operation;
Preservation of tonsils;
Minimal intervention in the body;
Minimal risk of complications;
Fast recovery.

Full recovery occurs in approximately 5-7 days. During this time, the tonsils heal and restore their functions. What are the disadvantages and side effects Is there such a simplified operation?

Possible complications and disadvantages

The most common side effect(negative consequence) is pain during the healing of the tonsils. This normal phenomenon, since lymphoid tissues are still injured, albeit slightly.

In extremely rare cases, after the procedure, inflammation of the tonsils resumes (since the lymphatic tissue remains in place), causing chronic tonsillitis to recur.

And also, judging by the reviews of doctors, this procedure It is better not to carry out this if complications of chronic tonsillitis have already occurred in the heart, joints or kidneys. In this case, only a full tonsillectomy will help.

Indications and contraindications: main

Lakunotomy of the palatine tonsils is definitely necessary if you have:

Too much frequent relapses chronic tonsillitis - more than twice a year;
There are scars and adhesions on the surface of the tonsils, which can be a source of infection;
Complications in the heart, joints or kidneys begin to develop;
The tonsils are excessively enlarged, causing breathing problems;
Permanent purulent plugs.

Contraindications for the procedure are: exacerbation of chronic infections (the operation is performed only during remission), acute or serious illnesses hearts and endocrine system, chronic infections in other organs, malignant tumors, especially in the throat.

Recovery period: what can and cannot be done?

In order for the body to recover faster after the procedure, you need to follow certain recommendations. In the first day, the throat may be very sore, the pain can be relieved with painkillers based on Nimesulide or Ketoprofen.

Gradually, a plaque will appear on the tonsils, which under no circumstances should be removed. It will disappear on its own in 5-7 days.

To prevent complications, you will have to gargle with antiseptics: or Miramistin. In addition, be sure to follow a diet without spicy, solid, hot/cold foods. Food should be soft, light, nutritious, healthy, and neutral in temperature.

That's all, dear readers. I hope you found answers to all your questions, and if you still have any, then ask in the comments. Subscribe to site updates and share what you read with friends on in social networks. See you again!

Laser treatment of tonsillitis is one of the most innovative and effective means combating the chronic inflammatory process in the tonsils, which is aimed at completely ridding the patient of pathogenic microflora in the tissues of the tonsils and at the same time allowing doctors to preserve this part throat intact. All these efforts of doctors are connected with the fact that the tonsils play important role in the formation of a strong immune system patient, act as an organic filter that blocks further advancement in Airways infectious microorganisms and pathogenic viruses. Laser treatment of tonsillitis has its advantages, as well as contraindications for use. Let's take a closer look at the pros and cons of laser cauterization of inflamed tonsils.

Laser lacunotomy is a molecular resonance destruction of the palatine tonsils, on the surface of the mucous membrane and in the deeper tissues of which acute or chronic disease develops inflammatory process caused by an infectious infection. Lakunotomy using laser beam considered one of the least traumatic methods surgical treatment tonsils

The mechanism for carrying out this type of therapeutic procedure is as follows:

A surgeon who has permission to perform surgical treatment using a laser and auxiliary equipment that provides a continuous flow of the laser beam, the tonsil area is injected with local anesthesia. This stage of treating tonsillitis with laser therapy is the most painful. The patient must endure the administration of an injectable pain reliever.
After the anesthesia takes effect and the patient loses sensitivity in the tonsil area, the surgeon begins to apply a laser beam to the surface of the tonsils.
The specialist dissects the lacuna with a hot laser stream, in which there are excessive amounts of purulent plaques and a huge amount of pathogenic microflora. During these manipulations, purulent contents and pathogenic microbes are simultaneously removed, and the doctor also gets the opportunity to immediately cauterize the operated area of the throat in order to avoid heavy blood loss.

Under influence high temperatures The laser beam thermally excises the infected tissues and stops the chronic spread of bacteria throughout the body. After 2-3 days, due to catarrhal processes that develop in the tissues of the tonsils upon completion of the procedure, necrosis and rejection of the epithelial surface that has undergone laser carbonization occurs. This process slows down the complete healing of the operated glands for several days, but after 3-4 days epithelial cells tonsils regenerate with the same intensity. Process full recovery and rehabilitation is purely individual and depends on the patient’s age, severity clinical picture acute or chronic tonsillitis that was diagnosed in the patient. In general optimal indicator tissue restoration of operated tonsils using laser is 10 days.

Laser treatment of tonsillitis is an analogue of tonsillectomy, when bacterial infection has affected the tonsil tissue to such an extent that conservative treatment using traditional medications no longer brings the expected results therapeutic effect. Therefore, the otolaryngologist and the patient himself are faced with the question of complete removal of the tonsils using surgical equipment, or performing therapeutic manipulations with a laser, cauterizing the affected areas of the tonsils and preserving the functional abilities of this organ.

Laser therapy for tonsils is recommended in the following cases. If a patient with a chronic form of tonsillitis experiences an exacerbation of the disease more than 3 times a year, then this is a direct indication for laser sanitation of the infected areas of the tonsil tissue. In case of absence this treatment

, the number of exacerbations of tonsillitis will only increase every year. Therapy for chronic and acute tonsillitis always begins with the patient undergoing a course of medication, the use of potent antibacterial drugs, and antiseptic solutions for gargling. If during therapy positive reaction

is absent and the patient’s condition does not improve, the inflamed tonsils remain swollen and painful, and purulent plaques continue to fill the lacunae of the tonsils, then this is a direct indication for laser therapy for tonsillitis. Tonsillitis is an infectious disease that is most dangerous due to the development of its complications. In the event that the patient during comprehensive survey or based on complaints received from him about unsatisfactory health, diseases such as infectious myocarditis are detected, rheumatoid arthritis , peritonsillar abscess, signs of blood poisoning, development of acquired heart disease, then with 85% probability we can assume that these pathologies were provoked precisely by the presence of chronic or acute form tonsillitis. The loss of precious time and the lack of treatment for tonsil tissue in the future threatens the patient even more acute development

complications with damage to vital organs. If a patient has tonsillitis, the indicated accompanying pathologies , lacunotomy is one of the mandatory therapeutic methods restoring the functionality of the tonsils in order to avoid them.

surgical removal Lakunotomy has not only advantages and is different high efficiency in terms of the effect on the infected tonsils, but still has medical contraindications

for use It is strictly prohibited to treat tonsils using a laser beam in the following cases: the patient is in transition stage tonsillitis in the acute phase of development infectious disease with signs of profuse suppuration and the formation of multiple plaques (it is recommended to relieve the inflammatory process antibacterial drugs and only after that proceed to the lacunotomy procedure);
development in the patient's body malignant tumors regardless of the type of cancerous tumor, as well as the area of its localization (this prohibition is justified by the fact that laser irradiation may provoke more accelerated growth degenerated cells and then the tumor will begin to develop even more intensely);
various diseases of the pancreas, as well as diabetes mellitus types 1 and 2 with increased or reduced level blood glucose;
heart failure, lung diseases associated with a sharp reduction in the bronchial lumen and the further development of acute spasm of the respiratory tract;
too much low level platelets in the blood, which provokes poor clotting blood, leads to frequent bleeding (lacunotomy itself is characterized by insignificant blood losses, since the laser not only removes the affected tissue of the tonsils, but also immediately cauterizes them, but there is still always a risk of touching the main vessel and causing heavy blood loss);
the presence of pregnancy, as well as breastfeeding (these restrictions are justified by the fact that at this stage of a woman’s life any stressful situations, and lacunotomy is still an operation during which not a scalpel is simply used, but a hot laser beam);
Children whose age ranges from 1 year to 10 years should also not undergo laser therapy for chronic tonsillitis.

These are the main medical contraindications that prohibit laser excision of infected tissues of the tonsils, since the development of much more dangerous complications is possible.

If these pathologies are present, the otolaryngologist selects other treatment methods for the patient based on conservative therapy, or during the traditional surgical intervention. This is already determined by the doctor on an individual basis.

The cost of laser therapy for tonsillitis by sanitizing diseased tonsils using a laser beam directly depends on the city in which the procedure is performed, in the state or private clinic, as well as indirectly from the individual pricing policy of the specialist who conducts this type of treatment. On average, the price range for lacunotomy is between 1200-1500 rubles per procedure. In most cases, it is not possible to completely get rid of inflammation in the tonsils in just one session and you may need to undergo 2-3 laser therapy procedures. Based on the results of completion of treatment, 10 days later the patient undergoes a follow-up examination and the doctor determines the need for a second course of therapy, or at this stage the treatment is completely completed and the patient has recovered.

Unlike surgical removal of tonsils, laser therapy has proven to be highly effective even in patients with complex forms of chronic tonsillitis. Therefore, most reviews about this treatment method are extremely positive. Patients who have undergone lacunotomy therapy note that the process of sanitation of the tonsils with a laser takes no more than 15 minutes. Trauma to the tissues of the tonsils is minimal, there is absolutely no bleeding, no pain syndrome throughout the entire rehabilitation period. At the same time, laser treatment of tonsillitis is also quite affordable in financial terms and the cost of the procedure is only 500-600 rubles more expensive compared to surgery. This was also noted in positive reviews patients.

Many people often underestimate acute tonsillitis. Most are sure - acute tonsillitis, a disease that is quite easy to treat and goes away without any particular complications. This feeling passes exactly at the moment when a banal sore throat turns into chronic illness. At this stage, tonsillitis causes many unpleasant symptoms and significantly reduces the quality of life. Conservative treatment methods in this situation usually no longer work. Previously, having suffered with such a patient for several years and having failed to achieve positive dynamics, the attending physician made a decision on surgical intervention and removal of tonsils. Fortunately, today such barbaric methods are used extremely rarely. It has long been known that the tonsils are one of the essential elements immunity and, if they are removed, the infection will stick to the person even stronger than before.

Such methods are loudly called gentle surgery, and the worst thing that cauterization or lacunotomy can end up with is a small burn of the mucous membrane of the throat or palatine arches with a laser, or liquid nitrogen.

Modern gentle surgery recognizes 2 methods of cauterization of the tonsils. Lakunotomy, can be laser or cryogenic, which is performed using liquid nitrogen. Let's talk in more detail about these methods and try to find out which one is preferable.

Treatment of chronic tonsillitis with liquid nitrogen, the method is not particularly new. It began to be used experimentally more than 10 years ago, and the technique immediately showed very good results.

The procedure is carried out in outpatient setting- There is no need to go to the hospital. In addition, cryogenic lacunotomy has the following advantages:

The effectiveness of the method has long been scientifically proven and is about 90%. That is, if your chronic tonsillitis is treated with liquid nitrogen, it will certainly work.
For a complete cure, only 2 procedures with a two-week break between them are enough.
The procedure is performed very quickly - just a few minutes.
Absolutely painless. The procedure is carried out under local anesthesia, and the patient is given a good pain reliever.

The manipulation is performed in a sitting position so that the doctor has a clear view of the oral cavity and does not accidentally burn the palatine arches. The patient's throat is treated with lidocaine to avoid the gag reflex. After which the doctor applies the instrument to each gland for 2-3 minutes and, in fact, the procedure is over. This procedure, according to experts, is more gentle than laser lacunotomy. It does not cause scarring or bleeding upon completion of the manipulation, and burns to the palatine arches are also unlikely. Already half an hour after the procedure, the patient can drink and eat - in fact, such cauterization of the tonsils in no way changes the patient’s quality of life. There may only be slight discomfort and a feeling of dryness in the throat, but they quickly pass.

Treatment with liquid nitrogen is extremely simple. Under the influence of deep freezing, changed as a result chronic illness the tissue of the tonsils dies and the process of self-cleaning and regeneration begins in the tonsils.

As a result of cryotherapy, complete restoration of tonsil function occurs in a short time in just a few weeks. The regeneration process is absolutely painless and most importantly, this procedure allows you to save your tonsils.

Similar treatment is possible in adults and children over 12 years of age. Children use a slightly different technology. From the age of three, specialists irrigate the pharynx with liquid nitrogen vapor. In just 4 procedures, you can achieve complete restoration of tonsil function.

Laser lacunotomy is a slightly more difficult procedure than the liquid nitrogen treatment described above. The procedure involves using a laser to remove damaged or altered tissue from the surface of the tonsils.

During the procedure, it is possible slight discomfort however, there should be no pain or blood. Laser treatment is justified in cases where it is necessary to penetrate deep into the tonsil or perform a minor operation on it.

In fact, with a laser, you can easily remove the tonsils completely, however, as mentioned above, doctors try not to do this. Even after major laser surgery, tonsils usually remain.

Among the advantages of laser therapy for chronic sore throat, the following can be highlighted:

Bloodlessness of the operation. Bleeding occurs in extremely rare cases.
Possibility of fairly accurate and detailed laser treatment of affected tonsils.
Painless. The operation is performed under local anesthesia. Tonsils are frozen using a special aerosol or injection.

Laser therapy continues for about half an hour with short rest breaks for the patient. There is no need for hospitalization - the procedure is always performed on an outpatient basis. From unpleasant consequences only minor signs of sore throat that go away quickly.

Laser lacunotomy

The tissues changed as a result of the disease simply evaporate under the influence of the laser, the purulent plugs are removed and all the cavities of the tonsils are cleaned. As a result, as a result of laser cauterization, in 100% of cases, complete cure chronic sore throat, therefore laser is considered more effective than liquid nitrogen.

Laser therapy is possible from the age of three. Moreover, there is no need to delay treatment. As soon as the doctor sent you for the procedure, feel free to go. Chronic sore throat insidious in that it often becomes the cause of many serious complications and there is no point in delaying her treatment.

I have had chronic tonsillitis for 3 years now. This disease does not bring me any discomfort, and it’s somehow unusual for me to call it a disease. Let me first tell you a little about her.

Chronic tonsillitis usually occurs after prolonged colds, flu, or with reduced immunity. It especially manifests itself in winter in parallel with inflammation of the throat. In the cold season, when the immune system is weakened after a cold and sore throat has not yet fully recovered, in the openings of the tonsils - lacunae - microorganisms accumulate and multiply, mainly staphylococci, which in healthy condition suppressed by the immune system. Plus, food particles get into the tonsils, which create an additional breeding ground for microbes. In response to the proliferation of staphylococci, the body begins to produce lymphocytes that neutralize pathogenic microflora. As a result, a mixture of pus, food particles and microbes forms in the lacunae of the tonsils, and purulent plugs are formed. Since the immune system is weakened, the body cannot completely get rid of microbes, the traffic jams become larger, and the microbes penetrate deeper into the lacunae of the tonsils. When a person recovers and the immune system becomes good again, staphylococci finally settle in the lacunae of the tonsils and without treatment the body can no longer destroy them. The lacunae of the tonsils regularly become clogged with plugs, tonsillitis becomes chronic and remains even with good immunity and a healthy state of the person.

From time to time, white plugs emerge from the lacunae of the tonsils - a consequence of tonsillitis. In summer there are almost none, in the cold season there are more of them, and the disease worsens.

In people who have weak immunity and often sick colds Tonsillitis can manifest itself not only in the form of traffic jams, but also in constant elevated temperature body, malaise, enlarged lymph nodes. In general I have good immunity, I get colds once a year in the winter, sometimes I don’t get sick at all, tonsillitis doesn’t particularly bother me. Just occasionally there are unpleasant traffic jams. I first noticed them about 3 years ago, I didn’t attach any importance to it. A year ago, I became interested in this topic and went to the otolaryngologist, I was prescribed Tonzilgon tablets, rinsing with soda and washing the lacunae of the tonsils. I went to wash it a couple of times, but didn’t notice any results. Washing lacunae, rinsing, tablets are conservative method treatment of tonsillitis, many doctors say that tonsillitis can be completely cured only with a laser.

Washing the lacunae of the tonsils - unpleasant procedure, during which the lacunae are washed with an ozonized solution from a syringe with a thin long tube at the end. On one of the sites I found instructions for making a device for cleaning tonsils from an aluminum wire with a loop at the end. So, after washing, I came home, looked into my throat and cleaned out the gaps no less than usual.

I didn’t particularly plan to treat tonsillitis, but recently, during an examination at the clinic, the ENT specialist strongly recommended a lacunotomy. He said that this would solve the problem with tonsillitis once and for all.

I signed up for medical school. center for laser lacunotomy. The price of the operation is 4000 rubles. Another 1000 rubles were spent on the purchase of tablets and aerosol for treating the throat after surgery during the healing period.

The operation itself lasts about 30 minutes. and consists in the fact that, using a laser, the doctor burns out the affected tissue in the lacunae of the tonsils (the affected tissue becomes loose and serves as a breeding ground for microbes). The doctor said that the laser has an immunostimulating effect. The operation is supposedly bloodless, but I observed bruises on my tonsils for several days, although there was no blood during the operation.

First, they gave me a couple of injections into one tonsil. It's tolerable, just a slight tingling sensation. The tonsil became numb, and the doctor began the operation. Using a device with a short green beam at the end, shaped like a dentist's drill, the doctor began to cauterize the tonsils. It was a little painful, the doctor did the cauterization in fragments, he would bring the laser, hold it in the tonsil for 15 seconds, then take it out, I’ll take a break, after 10 seconds the laser will go into the tonsil again. Unpleasant but tolerable sensations. There was smoke coming from his mouth and the smell of burnt meat. After the first tonsil, the doctor gave anesthesia injections to the second one and also began to cauterize it with a laser. They did the second tonsil for me longer than the first one; apparently, it was more severely affected.

After the operation, I was prescribed antibiotics, Bioparox aerosol, chamomile rinses and painkillers - Ketorol and Nimesil. Nimesil helped me a lot - you drink the powder from one sachet and you can live for a day.

After the operation, my throat and part of my tongue became numb, I could not really speak, I made a muffled gurgle in which words could barely be distinguished. These were only flowers. On the way home, the anesthesia began to wear off. All hell has broken loose. The pain is terrible, unbearable, as if pieces of my tonsils were being cut out alive with a knife. 100 times more painful than cauterization during surgery. A terrible nightmare, my throat has never hurt so much. I cried the second half of the way home, it was terrible pain. At home I drank 2 sachets of Nimesil, 1 tablet of Ketorol, sprayed it with an aerosol and went to bed, when I woke up an hour later, the pain had subsided just a little, the ability to speak had returned.

If you have the opportunity to get painkilling injections, do them immediately after the operation so that it does not hurt as much. And stock up on good painkillers. You can drink after surgery, but you cannot eat for a couple of hours. It hurts to swallow.

On the second day, my throat was very sore, but compared to the first day it was easier. The first day is hell, on the second, third, fourth day the pain is like... severe sore throat, painful to swallow. My throat finally stopped hurting only 2 weeks after the operation; within two weeks I had already managed to get used to the constant pain in my throat. The tonsils were covered with a dense white film, now there is only a small amount of it left on one tonsil white coating. The tonsil that was burned more strongly hurt longer. Do not forget to take the prescribed antibiotics, otherwise everything will fester in the tonsils.

Now the tonsils have stopped hurting, but still have not healed. Now I’ll write about efficiency.

I don’t know how tonsillitis should go after surgery; the ENT specialist didn’t really explain this to me. The fact is that about three days ago I finally looked into my throat and cleaned out a lot of plugs with my wire. Maybe it’s old plugs that were there before the operation coming out, or it’s tissue that has died as a result of healing. I haven't gotten that many plugs before. Maybe old remnants are coming out of the burnt out gaps. I would like it, and the doctors promise that the traffic jams will disappear. I want to believe in it. No wonder I suffered. I read on the forums that some people did lacunotomy 5 times, and there were no results. But my case is not so severe; in the summer I completely forget about tonsillitis. I think I would have had a lacunotomy sooner or later anyway. I will come back and add updates as I observe them.

I decided to write a review for those who are interested in methods of treating tonsillitis. On the Internet I only read about the results of the operation, but the process itself is not written anywhere, so I hope that I have clarified the situation a little. On Airekommenda I also saw reviews about tonsil removal and tonsillotomy, but tonsillectomy, tonsillotomy and lacunotomy are three different operations, so I decided to create a separate thread.

I hope my review was helpful to you. If you have any questions, ask.

UPDATE (07/08/2014)

5 weeks have passed since laser lacunotomy.

At first I had mixed opinions about this operation. On the one hand, many doctors recommended lacunotomy to me as the most modern and effective method treatment of tonsillitis. On the other hand, in the first 2-3 weeks it seemed to me that this was an ineffective operation. There were still traffic jams. It seems to me that this was due to the fact that the tonsils had not completely healed, and the laser only cauterizes the lacunae, and if there are plugs in the depths of the lacunae, then the laser will not get rid of them, they will still come out like with tonsillitis.

I was upset that after this painful operation, the plugs still remained in the lacunae of the tonsils, and quite a lot of them. And closer to the tongue, it was as if another lacunae of the tonsils appeared (I apparently hadn’t noticed them before), from which plugs also came out (the ones closer to the palate burned me). This was on the 3rd week after lacunotomy.

I stocked up on chlorhexidine and cleaned and washed the lacunae of my tonsils almost every day. I adapted to bringing the spout of the chlorhexidine bottle close to the lacunae, pressing the bottle, feeling how the chlorhexidine was washing out the lacunae and not just pouring down the throat. The feeling is not pleasant, but after a couple of days I got used to it. I did this for 10 days.

Gradually, I began to notice that there were almost no plugs in the lacunae, after 10 days of washing with chlorhexidine, I did not even notice that the tonsils became clean, I again stopped noticing those second lacunae of the tonsils that were not cauterized.

Over the last 2-3 weeks, I tried to rinse the lacunae of the tonsils a couple of times, but I got out of the habit of this procedure and it became very unpleasant for me, I began to vomit. And during these 2-3 weeks, I never noticed any plugs in my tonsils, although previously they appeared 5 days after washing.

Now I don’t wash the lacunae of the tonsils, and there are no plugs in them at all, for 2-3 weeks now. The tonsils themselves even seemed to shrink. Previously, almost always, especially in winter, I had wheezing in the morning. Apparently, during the night the tonsils and the area of the throat next to them swelled, I did not suffer from anything, but in the morning I still spoke hoarsely, there was a feeling of a lump in my throat. After the lacunotomy, my throat healed within 2 weeks, and somehow, unexpectedly for myself, I noticed that I no longer wheezed in the morning.

Overall, I'm glad I had the lacunotomy. After my throat has finally healed and all the accumulated plugs have come out, I don’t find any new plugs, my tonsils have shrunk a little, I stopped wheezing in the morning, there is no feeling of a lump in my throat. Sometimes I gargle with chlorhexidine as a preventative measure.

UPDATE 11/30/2014

The review turned out to be huge, but I want to add more to it.

Almost six months have passed since the lacunotomy. With the onset of the first cold weather, I caught a cold and had a sore throat. During these six months, tonsillitis hardly showed up, there were very few traffic jams, but with acute respiratory infections it usually worsens. And then I caught such a cold that my lymph nodes even became enlarged and my tonsils became a little larger. The traffic jams have not disappeared; there are also a little more of them than usual. Not as much as it was before the lacunotomy, but the tonsils are not absolutely clean. And there seem to be more holes on the tonsils, where they were cauterized, there are almost no plugs, but they appear in the gaps located a little higher. And sometimes they appear discomfort, as if there are plugs somewhere in the palate that cannot be removed.

According to my feelings, in order to cure tonsillitis, you need to do 2-3 lacunotomies on different lacunae of the tonsils; one operation will not get rid of tonsillitis.

UPDATE 02/14/2015

Perhaps I'll write another update. The review is long, but I think it will be interesting to read for those who also have tonsillitis or those who want to do this procedure.

The flu did not pass me by, when many people around me got sick, I, of course, got sick too. The temperature rose, the throat hurt, and a cough appeared. Previously, these symptoms were added increased amount plugs in the lacunae of the tonsils.

And now... In general, no matter how much I tried to clean out the tonsils, no matter how much I used my specially adapted wire, I did not find a single plug. Where the lacunotomy was done, there are now no traffic jams at all! I've forgotten about them for the last few months. At the same time, my immunity is now lowered, in the middle of winter I get sick easily, but my tonsils are clear. I was surprised myself. I did it in May, now it’s February, more than six months have passed, the plugs in the tonsils themselves seem to have disappeared. After the lacunotomy there were a lot of them, especially when the throat was healing, in the summer I periodically removed them, and in the fall there were a lot of them. And then somehow they gradually disappeared, although I did not treat them purposefully, I only gargled during a cold. Maybe lacunotomy has such a long-term effect. I would like to hope that these plugs will not appear again, and tonsillitis will no longer bother me.

UPDATE 07/09/2015

It's been a while more than a year. I will write briefly, because... So, in a huge review, everything is almost described.

I get acute respiratory infections about 2 times a year. Neither when I am sick nor in normal times am I bothered by plugs in the lacunae of my tonsils. About a month ago it was just a little bit, just a small dot on the surface, it doesn’t even count as a cork. And when I try to squeeze them out like before, they still aren’t there. This is the effect of the operation. In the first months there were a lot of them, but now there are none at all, although I didn’t gargle additionally to remove them.