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1:750 laser tonsillectomies bleed, a bit.



We have performed many laser tonsillectomies using local anaesthetic spray for numbness. Today, number 748 bled a little. I found an area where #tonsilstones were forming in the top of the tonsil. I went too deep in my eagerness to completely remove the involved tissue, and probably hit a small branch of the superior tonsil artery. After bipolar diathermy, Lignospan injection and topical adrenaline the patient stopped bleeding and subsequently went home.


It just shows you have to be prepared and test your emergency kit regularly, ready for that 1:750 case.


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© 2020 by Mike Dilkes ENT Laser Surgery

General Medical Council: 3096325

Mike Dilkes is a leading ENT surgeon based in London. He specialises in laser surgery for treatment of a range of Ear, Nose & Throat issues including tonsillitis, tonsil stones, snoring, sleep apnoea, cancers, catarrh and allergies. Typical treatments include laser tonsillectomy under local anaesthetic (also called tonsillotomy, tonsil resurfacing, tonsil crytolysis) or general anaesthetic (also called intracapsular laser tonsillectomy, inside-out laser tonsillectomy), palatoplasty, septoplasty, turbinoplasty, uvulectomy and posterior turbinoplasty for post nasal drip. Principal Mike Dilkes has over 20 years of consultancy experience and around 5,000 ENT operations and procedures performed.