Thermal welding tonsillectomy: Features of the surgical and postoperative period

Chronic tonsillitis is one of the most common ENT conditions, particularly prevalent among individuals aged 15 to 30. It involves inflammation of the palatine tonsils and presents with both local (e.g., sore throat, bad breath) and systemic symptoms, such as joint, heart, or kidney complications due to chronic tonsillogenic intoxication. Accurate diagnosis and appropriate treatment - whether conservative or surgical - are essential, especially in cases resistant to medication. One modern surgical approach, thermal welding, applies direct heat to dissect tissues with minimal thermal spread, reducing collateral damage. In a study involving 15 patients undergoing tonsillectomy using thermal welding, results demonstrated several advantages: shortened dissection time, reduced intraoperative blood loss, and a minimized risk of both early and late postoperative bleeding. Despite these benefits, patients experienced significant postoperative pain, with peak intensity observed on the seventh day after surgery. Nevertheless, the method provided stable hemostasis, low need for analgesics, and a smooth recovery. These findings suggest that thermal welding is a viable and effective alternative to other tonsillectomy techniques. Its precision, safety profile, and comfort for both patient and surgeon support its broader adoption in clinical ENT practice