Tonsillectoplasty is a personalised method for treatment of sleep apnoea and snoring caused by chronic tonsillitis and soft palate dysfunction. Tonsillectomy that spares throat arch and pharyngeal muscles is supplemented with closure of tonsil site with multilayer suture. This improves the position of the soft palate without shortening it or removing the uvula. In case of widely performed palate-shortening uvulopalatopharyngoplasty, it is impossible to use small and convenient nose mask for postoperative ventilation therapy (CPAP therapy), because the air entering nose will exit through mouth. In case of partial removal of palate, only mouth-nose mask must be used, which is more expensive, bigger and more inconvenient. In case of tonsillectoplasty, closing wounds involves constant tightening of soft palate. Therefore, there is less need to “tighten” or “stiffen” the lax palate in the future by using palate implants, coagulation therapy or plastic surgery. Closing wounds significantly reduces the risk of postoperative haemorrhage. Healing period is a little shorter and sore throat lasts shorter. This is proven by the fact that during the early years of tonsillectoplasty there were a few instances of postoperative reopening the wound on the one side of tonsils. In those cases, relevant side of the pharynx healed as an “open wound” after regular tonsillectomy. It appeared that the side of the throat that healed while open suffered more intense pain for longer period than the closed side of the throat.
- 26. May 2019