CELON System - Radio-Frequency-based Power-Control Unit for ENT Procedures

PARTIAL REMOVAL OF HYPERTROPHIC TONSILS

01 | Anesthesia and Medications

• This procedure is commonly performed on children aged three and over in an operating room using intubation anesthesia.

• It is not recommended to use a larynx mask because it obstructs the physician’s view and does not protect the patient from aspiration.

02 | Treatment of Hypertrophic Tonsils

• Use the CelonProCut accessoires to partially resect the tonsil.

• Hold the tonsils with the gripping forceps, which also serve as the return electrode, and retract them slightly medially for better exposure. Avoid contact between the electrode tip and forceps.

• After grasping the tonsil, activate the power supply by pressing the foot switch.

• Next, start the incision with the cutting electrode. Start in the upper tonsil pole and continue parallel to the anterior palatine arch caudally [Figure 01a/b].

Figure 01a

Figure 01b

• Make sure to use the tip of the electrode to cut into the depth of the tonsil [Figure 02a/b].

Figure 02a

Figure 02b

• The portion of the tonsil that projects medially of the anterior and posterior palatine arch can be removed [Figure 03a/b].

Figure 03a

Figure 03b

• Minor intraoperative bleeding can occur, which generally arises from smaller vessels and can be easily stopped by inserting an appropriate packing material.

• If necessary, you can also apply bipolar coagulation to the bleeding area [Figure 04a/b].

Figure 04a

Figure 04b

• Postoperative bleeding is very rare.

• Be careful not to damage the underlying tonsil capsule, the palatine arch, or the tongue.

• The partial resection of both tonsils takes only a few minutes.

03 | Therapeutic Effect

Figure 05

04 | Postoperative Care

• Because bleeding may occur, it is recommended to keep children under postoperative inpatient observation for one to two days.

• For postoperative pain treatment, ibuprofen or paracetamol is generally suitable for children.

• Perioperative antibiotic prophylaxis is rarely necessary.