Minimally invasive surgical plasma ablation of tonsils and adenoids

  Snoring in children is a common disease in otorhinolaryngology. Severe snoring with loud snoring can lead to sleep disruption, affect the sleep quality of children, which in turn affects their growth and development, and in more serious cases can lead to cognitive impairment and cardiovascular disease in children. In the past 10 years or so, snoring has received widespread attention from the industry. Surgery has proven to be a very effective treatment for snoring in children. The surgical approach has undergone changes from traditional adenoids and tonsils removal, power system cutting removal, electric knife removal and recently low-temperature plasma removal.  The minimally invasive low-temperature plasma ablation surgical treatment system is an emerging technology with many advantages that challenge traditional surgical treatment. Its working principle is to shatter the molecular chains of organic molecules in the tissue through highly ionized particles in the plasma zone formed around the electrode by conductive medium (salt), which separates the molecules from the molecules and ablates them in a fixed point, reducing the volume of the tissue, with minimal tissue heating because the current does not flow directly through the tissue. The data shows that the surface tissue temperature is kept at 40-70°C. Both ensure the collagen molecular spiral structure crinkling and keep the cell vitality, plus the heat penetration is small, so the damage to both direct and indirect tissues is very small. Cryogenic plasma surgery system has been widely used in the field of otorhinolaryngology at home and abroad in recent years, and the clinical results are also very good.  Low-temperature plasma ablation has the following four advantages: minimally invasive: low-temperature plasma ablation technology, also known as “hairline” technology, its treatment warheads are only about 10 microns to 1 mm, some of which are even finer than hairline, and because the treatment warheads are so fine, the damage to patients is also extremely small. The doctors use it to perform precise spot treatment with almost no bleeding during the procedure, and the patient’s pain and edema after the procedure are also very mild.  Precision: Plasma technology uses the whole process of digital control of temperature, its treatment temperature can be accurate to 0.05 ℃, the whole treatment temperature control in 40-70 ℃, the cutting surface damage is smaller, will not be like microwave, laser, analog plasma burn mucosa, destroy the cilia epithelium, patients recover better after surgery. The digital power adjustment facilitates the selection of the appropriate power.  Convenience: Plasma ablation requires only local anesthesia for the treatment of some otorhinolaryngologic diseases, and the procedure can be completed in 10-15 minutes, as an outpatient procedure. There is no bleeding, no pain, no edema and no need for hospitalization after surgery.  Safety: The U.S. Jesse plasma ablation treatment system is the fourth generation of high-grade digital treatment system after laser and microwave, and is a professional treatment machine for plasma technology, which is radiation-free and safer.  Our department has purchased the U.S. Jesse low-temperature plasma surgery system and has been widely used in the removal of tonsils and adenoids in children, the advantages of which are less bleeding and less postoperative pain than traditional methods. The reason for less bleeding during surgery is that the Reflex 70 head combines the functions of vaporization and ablation, hemostasis, irrigation, and suction, so that the bleeding can be stopped immediately by its electrocoagulation function. When removing the adenoids, the plasma tip can precisely remove the adenoids that protrude into the posterior nostril, thus effectively avoiding the residual adenoids.  In fact, the low-temperature plasma ablation system can be widely used in the field of otorhinolaryngology surgery, especially in the surgical treatment of snoring and the ablation of turbinate hypertrophy, which have been generally considered significantly better than traditional methods.