Coblation adenoidectomy and intracapsular tonsillectomy

Nikki Harrison

  • Reference Number: HEY1519/2023
  • Departments: Day Surgery (DSU), ENT, Paediatric Medicine
  • Last Updated: 31 August 2023

Introduction

This leaflet has been produced to give you general information. Most of your questions should be answered by this leaflet. It is not intended to replace the discussion between you and the healthcare team but may act as a starting point for discussion. If after reading it you have any concerns or require further explanation, please discuss this with a member of the healthcare team.

What is coblation?

Coblation is a word derived from controlled ablation. Coblation technology is a surgical technique that precisely removes tissue at cooler temperatures (40 to 70 °C) as compared to other technology like electrocautery (400 to 600 °C). It is increasingly preferred by ENT surgeons for removing adenoids and tonsils.

How is coblation adenoidectomy different?

Coblation adenoidectomy is only different in the technology used to remove the adenoids.

How is coblation intracapsular tonsillectomy different?

Coblation intracapsular tonsillectomy is different as it involves removing most of the tonsil tissue, apart from a small area near the tonsil capsule (the covering of the tonsil).

What are the advantages compared to other ways to remove the adenoids and / or tonsils?

  • Minimal damage to nearby healthy tissue
  • Less blood loss
  • Less pain
  • Earlier return to your normal diet
  • Quicker return to normal activities, including getting back to school
  • Reduced chance of re-attending the Emergency Department or of re-admission

What are the disadvantages?

Since a tiny bit of tonsil tissue is left behind over the capsule there is a small (up to 3 in 100) chance of your tonsils growing back. If this happens, you may need repeat surgery in the future.

Should you require further advice on the issues contained in this leaflet, please do not hesitate to contact the ENT Department.

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