We report the results of a prospective pilot study of 54 adult patient
s undergoing tonsillectomy using the KTP-532 laser, designed to assess
whether the technique would facilitate day-case adult tonsillectomy.
Subjective and objective assessment at six hours past-operatively show
ed that only 43 per cent could, in our judgement, have been discharged
at this interval. Furthermore, the overall complication rate was 31 p
er cent with a secondary haemorrhage rate of 19 per cent. We conclude
that KTP-532 laser tonsillectomy as performed in this pilot study comp
ares unfavourably with dissection tonsillectomy and we discuss possibl
e reasons for this.