Coblation cryptolysis method for tonsil caseum-induced halit
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Coblation cryptolysis is a safe, effective, complication-less, minimally invasive, and practical alternative method for the treatment of halitosis due to tonsil-caseums, a recent study in the American Journal of Otolaryngology has revealed.

Tonsil stones can cause halitosis and especially occur in crypts of palatine tonsils. The coblation technology includes passing a radiofrequency bipolar electrical current through a medium of normal saline which results in the production of a plasma field of sodium ions. In this study, the aim was to investigate the effectiveness of the coblator cryptolysis treatment method in chronic caseous tonsillitis-induced halitosis.

Researchers included 28 patients who underwent coblator cryptolysis surgery for halitosis due to chronic caseous tonsillitis. The efficacy of treatment and the presence of caseoma were evaluated with the Finkelstein test, organoleptic test, and VAS before the procedure and at the 6th-month control after the treatment was completed.

The result was:

--At the 6th-month follow-up after the procedure (a single coblation cryptolysis) they found that 23 of the patients had no caseum.

--There was a statistically significant change in Finkelstein measurements before and after the procedure.

--Organoleptic measurements demonstrated that 21 patients had no halitosis postoperatively and the mean organoleptic test score was calculated as 0.39±0.79 after the procedure.

--The recovery was statistically significant. The mean VAS score before coblation cryptolysis was 8.0±1.33.

--On the other hand, 6-months after a single coblation cryptolysis session, the mean VAS score was 1.25±1.78. This difference was statistically significant.

Conclusively, The results suggest that coblation cytolysis is an effective, safe, minimally invasive, and practical alternative method in the treatment of halitosis due to tonsil caseums. No complications were observed after the procedure.

Source: https://doi.org/10.1016/j.amjoto.2021.103075
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