In the past, there has been only 3 ways to address this problem:
1) Conservative management with gargles and manual expression (kind of like popping a pimple, but it's the tonsil)
2) Tonsillectomy (no tonsils to produce the stones than)
3) Laser cryptolysis (a laser beam is used to obliterate the tonsil surface causing the crypts and holes where tonsils stones are produced to disappear)
However, there are disadvantages to each of these different methods. For tonsillectomy, the pain during recovery is excruciating and can last up to 3+ weeks. Also, the surgery has to be performed under general anesthesia. Laser cryptolysis is rarely performed mainly because of the risks associated with laser use (eye damage, facial and lip burns, bleeding, etc).
As such, Dr. Chang has developed a new technique that minimizes the drawbacks with these methods called coblation cryptolysis. Pain does not typically last more than 1 week and does not have any of the risks associated with laser use. Furthermore, it can be done without any sedation. Only local anesthesia is used. Watch video on how this procedure is performed.
