{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T02:22:42Z","timestamp":1771467762280,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2012,7,26]],"date-time":"2012-07-26T00:00:00Z","timestamp":1343260800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Lasers Surg Med"],"published-print":{"date-parts":[[2012,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The need for reduction of post\u2010tonsillectomy hemorrhage has led to promotion of tonsillotomy techniques for tonsil tissue reduction in obstructive tonsillar hypertrophy. This trial compares ablative tissue effects using 1,470\u2009nm diode laser and carbon dioxide laser for tonsillotomy in an intraindividual design.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>21 children aged 3\u201313 years (mean age 6.3 years) underwent laser tonsillotomy for obstructive tonsillar hypertrophy in this double blind, prospective, randomized, clinical feasibility trial. In each of the blinded patients, tonsillotomy was performed using fiber guided 1,470\u2009nm diode laser (contact mode, 15\u2009W power) on the one side and carbon dioxide laser (12\u2009W power) on the other side. An independent, blinded physician documented clinical presentation and patients' symptoms preoperatively and on Days 1, 3, 7, 14, and 21 post\u2010operatively using standardized questionnaire including VAS for each side separately.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean duration of operative treatment was 2.7\u2009min using 1,470\u2009nm laser and 4.9\u2009min using carbon dioxide laser respectively. Intraoperative bleeding and the frequency of bipolar forceps use for intraoperative bleeding control was significantly less using 1,470\u2009nm diode laser system. There was no difference in post\u2010operative pain scores between the carbon dioxide laser treated and the 1,470\u2009nm fiber guided diode laser treated side. No infections, hemorrhages or other complications occurred in the course of the 3 weeks post\u2010operative period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A fiber\u2010guided 1,470\u2009nm diode laser system offers an efficient and safe method for tonsillotomy as treatment of obstructive tonsillar hypertrophy. Compared to our standard practice (carbon dioxide laser), 1,470\u2009nm laser application provides comparable tissue ablation effects with less intraoperative bleeding and shorter operation time. Lasers Surg. Med. 44: 558\u2013563, 2012. \u00a9 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/lsm.22053","type":"journal-article","created":{"date-parts":[[2012,7,27]],"date-time":"2012-07-27T03:48:39Z","timestamp":1343360919000},"page":"558-563","source":"Crossref","is-referenced-by-count":23,"title":["Intraindividual comparison of 1,470\u2009nm diode laser versus carbon dioxide laser for tonsillotomy: A prospective, randomized, double blind, controlled feasibility 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