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In the following chapter, it is demonstrated how to use the CelonProCut technology for the partial resection of the hypertrophic tonsils by keeping the capsule intact.

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

Power settings: A power setting of 20 to 25 watts (mode: PureCut) is recommended. It is not necessary to place a neutral electrode on the patient.

  • 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.


If necessary, you can perform an adenoidectomy in the conventional manner using an adenoid curette during the same treatment session with no additional risks.

03 | Therapeutic Effect

You can expect to achieve the final result in approximately three weeks as a result of the body’s resorption process and the formation of scar tissue [Figure 05].

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.

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