Authors' objectives:

This study aims to assess the current evidence on tonsillectomy using laser.

Authors' recommendations: 1 Guidance 1.1 Current evidence on the safety and efficacy of tonsillectomy using laser appears adequate to support the use of this technique provided that normal arrangements are in place for consent, audit and clinical governance. 1.2 Use of laser for tonsillectomy may result in higher rates of haemorrhage than some other techniques, and clinicians wishing to use lasers should be specifically trained in their use. The British Association of Otorhinolaryngologists ; Head and Neck Surgeons has agreed to produce standards for training. 1.3 Surgeons should ensure that patients or their parents/carers understand the risk of haemorrhage after tonsillectomy using laser. In addition, use of the Institute's information for patients ('Understanding NICE guidance') is recommended (available from www.nice.org.uk/IPG186publicinfo). 1.4 Surgeons should audit and review the rates of haemorrhage complicating tonsillectomy in their own practices and in the context of the techniques they use. Publication of further information about the influence of different techniques and other factors (such as age) on the incidence of haemorrhage after tonsillectomy would be useful in guiding future practice.

Authors' methods: Overview

Project Status: Completed

URL for project: http://www.nice.org.uk/page.aspx?o=IP_57

Year Published: 2006

English language abstract: An English language summary is available

Publication Type: Not Assigned

Country: England

Organisation Name: National Institute for Health and Care Excellence

Contact Address: Level 1A, City Tower, Piccadilly Plaza, Manchester, M1 4BT

Contact Name: nice@nice.nhs.uk

Contact Email: nice@nice.nhs.uk

Copyright: National Institute for Health and Clinical Excellence (NICE)