The treatment of enlarged tonsils in children under 5 years of age with OSHAS has always been a problem for doctors and parents of children with OSHAS. Physicians and parents are concerned that removing the tonsils bilaterally will affect the child’s immunity, while leaving the large III tonsils will obviously affect the child’s ventilation function, compromise the efficacy of OSHAS surgery, and even fail to solve the problems of snoring and hypoventilation and hypoxia. In order to preserve the immune function of the tonsils themselves and to relieve the obstructive ventilation caused by their excessive hypertrophy. I carried out CO2 laser partial tonsillectomy to shrink the III degree large tonsils to I degree, which preserves the immunity of the tonsils and solves the contradiction of obstructive ventilation. The postoperative reaction is mild, and the child can eat normally after the operation, which is affirmed by the parents of the child.
The CO2 laser is advanced because it produces minimal thermal effects on the tissue compared to other thermal cutting tools. In addition, the thermal penetration of the CO2 laser is measured in microns, while other lasers have a thermal penetration in millimeters. These characteristics have made the CO2 laser an ideal tool for surgical procedures where tissue cutting and vaporization can be performed without damage to the surrounding tissue. Overseas studies have compared conventional cold excision with CO2 laser tonsillectomy and have found that the CO2 laser excision is less painful and nearly as effective as cold excision. Our hospital uses a CO2 laser imported from Israel with stable performance.