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Is laser tonsillectomy under local anaesthetic better than traditional tonsillectomy?

Laser: 1) Removes most of the tonsil but not all of it, so as in any organ of the human body, it's best NOT to remove it all. Function is therefore preserved, quite important in Covid19.

2) Using local anaesthetic spray its a "lunchtime" treatment in clinic. No time off work or studies.

3) Can be scheduled within a few days as patients are in and out in half an hour.

4) Extremely rare to have any bleeding - no cases in over 2,000 treated under local anaesthetic spray have needed surgery to stop bleeding.

5) Much less painful, prescribed painkillers are NOT required. Paracetamol only for 4-5 days on average. Patients eat normally post op.

6) 72% of patients need just one treatment for a big gain in symptom relief and which costs £950.


Traditional: removes all the tonsil, very painful / off work for 3 weeks, bleeds quite commonly, costs £3000, scheduling is an issue as its general anaesthetic in Hospital.

2 Comments


Emma McKenna
Emma McKenna
Apr 22, 2021

I cannot recommend this approach highly enough. It is exactly as stated here - one visit for me; ate and drank normally; in and out in 40 minutes and - touch wood - no further issues in past six months since the procedure!

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Mike Dilkes ENT Surgeon MSFRCS
Mike Dilkes ENT Surgeon MSFRCS
Apr 22, 2021
Replying to

Thanks for that. Some of my ENT colleagues still don't get it, which is a shame. Mike Dilkes

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