Endoscopic Coblation Assisted Adenotonsillectomy
Endoscopic Coblation Assisted Adenotonsillectomy
Endoscopic Coblation Assisted Adenotonsillectomy is an advanced, minimally invasive technique for the removal of the tonsils and adenoids using Coblation (Controlled Ablation) technology. This state-of-the-art approach uses radiofrequency energy and saline to dissolve tissue at low temperatures, resulting in significantly less pain, reduced bleeding, and faster recovery compared to traditional surgical methods. Dr. Vishal Vikas Nair specialises in this technique for both paediatric and adult patients.
What is Coblation Adenotonsillectomy?
Coblation technology uses bipolar radiofrequency energy in a saline medium to create a plasma field that dissolves tissue at low temperatures (40–70°C), compared to conventional electrocautery which operates at 400°C. This results in minimal thermal damage to surrounding tissues, less post-operative pain, reduced risk of bleeding, and quicker return to normal diet and activities.
Indications for Adenotonsillectomy
- Recurrent tonsillitis (7 or more episodes per year)
- Obstructive Sleep Apnoea (OSA) due to enlarged tonsils/adenoids
- Tonsillar hypertrophy causing swallowing difficulty
- Peritonsillar abscess (quinsy)
- Adenoid hypertrophy causing nasal obstruction
- Chronic adenoiditis with recurrent ear infections
- Snoring and sleep-disordered breathing in children
- Suspected tonsillar malignancy
Advantages of Coblation over Traditional Techniques
- Significantly less post-operative pain
- Reduced intraoperative and post-operative bleeding
- Faster return to normal diet (soft diet within 3–5 days)
- Shorter recovery period
- Minimal thermal damage to surrounding tissues
- Suitable for all age groups including young children
Procedure Overview
The procedure is performed under general anaesthesia. Using an endoscope for enhanced visualisation, the Coblation wand is used to precisely remove the tonsils and/or adenoids with minimal bleeding. The entire procedure typically takes 30–45 minutes. Patients are usually discharged the same day or the following morning.
Why Choose Dr. Vishal Vikas Nair?
- Expert in advanced Coblation tonsil and adenoid surgery
- Extensive experience in paediatric and adult ENT surgery
- Endoscopic technique for superior visualisation and precision
- Comprehensive pre-operative sleep study evaluation when indicated
- Dedicated post-operative care and dietary guidance
