Guide To The Prevention, Treatment, And Removal Of Tonsil Stones

Laser Tonsil Cryptolysis

Laser tonsil cryptolysis is an in-office procedure ear, nose, and throat specialists can perform. The procedure requires only a local anesthetic, and most patients can return to work the following day. Laser tonsil cryptolysis is not used to remove the tonsils; it is only intended to remove the crypts where tonsil stones usually form. Most doctors recommend laser tonsil cryptolysis in cases where small stones are present at no more than three locations. If the tonsil stones are very large or if treatment of large surface areas is needed, a coblation procedure may be more appropriate. In considering laser tonsil cryptolysis, the surgeon will evaluate whether the tonsil stones can be easily seen when the patient opens their mouth, and the patient may also need to have their gag reflex tested, as those with a strong gag reflex typically need a different procedure. As with any procedure, this form of cryptolysis carries some risks. For example, the laser could burn the oral cavity or the face if the patient sneezes or moves during the procedure. The tonsils could also regrow, and patients might experience continued problems with tonsillitis or tonsil stones. However, this procedure causes considerably less pain than a tonsillectomy, and it is effective for many patients.

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Coblation Tonsil Cryptolysis

Coblation tonsil cryptolysis is similar to laser tonsil cryptolysis, and both procedures are designed to remove the areas of the tonsil in which stones normally lodge. Coblation tonsil cryptolysis can be performed with local anesthesia, and surgeons might also choose to perform it under general anesthesia for patients who have a strong gag reflex or who need treatment across the entire surface of the tonsil. Coblation uses radio waves to convert a saltwater solution into charged ions that cut through soft tissue. Unlike laser procedures, coblation does not involve any heat, so it may be more comfortable for some patients. Individuals who undergo coblation often experience a significant decrease in the number of tonsil stones they have, and the procedure can eliminate stones in some cases.