Tonsil

August 2004 Supplement

July 31, 2004    
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Radiofrequency volume tissue reduction of the tonsils: Case report and histopathologic findings

July 31, 2004     Alyssa R. Terk, MD; Steven B. Levine, MD
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Abstract
Innovative new techniques to resect tonsillar tissue have been described in the recent literature. We report the case of a patient who underwent volume reduction of tonsillar tissue by radiofrequency energy under local anesthesia in an office setting. Treatment resulted in a reduction of tonsillar size with minimal pain, which can be attributed to the avoidance of mucosal interruption. The patient subsequently underwent standard tonsillectomy, which allowed us to examine the histopathology of the tissue that was treated with radiofrequency. In doing so, we noted an absence of fibrosis and preservation of normal histologic architecture. We conclude that performing volume reduction of tonsillar tissue by applying radiofrequency energy to the stroma of the tonsils without temperature control results in objective improvement in airway size with minimal effects on the histopathology of the tonsillar stroma. Mucosa-sparing tonsillar reduction may be a preferable alternative to other techniques of tonsillar reduction, especially for young children, who would experience a nearly pain-free procedure.

Grisel's syndrome: The two-hit hypothesis-A case report and literature review

July 31, 2004     Andrew P. Battiata, MS, MD, CPT, MC, USA; George Pazos, MD, LCDR, MC, USN
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Abstract
Grisel's syndrome is a rare but well-documented clinical entity. It is a nontraumatic, fixed rotary subluxation of C1 on C2 (atlantoaxial). Although first described in 1830, the exact mechanism of Grisel's syndrome remains unclear. We present a postoperative case of Grisel's syndrome and an extensive literature review, and we propose a mechanism for its pathogenesis. In addition, we propose a treatment algorithm for Grisel's syndrome.

Introduction

July 31, 2004    
article

The roles of the anterior tonsillar pillar and previous tonsillectomy on sleep-disordered breathing

May 31, 2004     James Chan, MD; Lee M. Akst, MD; Isaac Eliachar, MD
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