Nasopharyngeal tonsils are now removed using the gentle plasma coblation method

10. 7. 2025

ENT doctors at Hořovice Hospital are now performing surgery on nasopharyngeal tonsils in children using plasma coblation - one of the most modern and gentle methods. The procedure is performed under general anaesthesia.

The nasopharyngeal tonsil is removed using plasma generated by the COBLATOR II. "The 40-70 °C plasma gently and effectively disrupts the tonsil tissue, which is then suctioned out by a special probe. The whole procedure takes approximately 20-40 minutes," says Michal Jurovčík, MD, a specialist in the treatment of ear, nose and throat diseases in paediatric patients.

After the procedure, the paediatrician and a nurse take over the child's care and the child is transferred from the operating theatre to a monitored bed in the paediatric ward, where he or she remains for the next few hours. "The patient is supervised at all times. The ENT doctor performs a follow-up examination and before discharge, he will give the parents instructions for home care and set a date for a post-operative check-up," says Jiří Jiráček, MD, head of the children's ward at Hořovice Hospital.

Solutions for recurrent otitis media

Plasma coblation is a superior procedure for which parents pay for a special probe. Its advantage over other methods is the precise and gentle removal of tissue even from harder to reach areas, thus reducing the likelihood of tonsil regrowth. "Plasma coblation is particularly beneficial in patients with chronic otitis media (called secretory or effusion otitis). With this method, we can precisely remove inflammatory tissue from the tonsils and from the area around the Eustachian tube, which connects the middle ear and nasopharynx," explains Michal Jurovčík, MD.

Appointment for surgery

Parents can book their children for surgery through the secretariat of the children's ward of Hořovice Hospital by calling 725 359 563. They should bring a recommendation from the attending ENT doctor for a pre-operative examination.