Finkelstein Yehuda, Talmi Yoav P, Ophir Dov, Berger Gilead
Palate Surgery Unit, Department of Otolarygology-Head and Neck Surgery, Meir Hospital, Sapir Medical Center, Kfar Saba, Israel.
Otolaryngol Head Neck Surg. 2004 Oct;131(4):372-7. doi: 10.1016/j.otohns.2004.02.044.
To evaluate the tonsils as a source of halitosis and to assess the efficacy of laser CO(2) cryptolysis for the treatment of oral bad breath caused by chronic fetid tonsillitis.
Fifty-three patients with halitosis originating from chronic fetid tonsillitis, who completed laser cryptolysis were enrolled in the study. The origin of halitosis was demonstrated by Finkelstein's tonsil smelling test, which included massaging the tonsils and smelling the squeezed discharge. All patients were treated by laser cryptolysis, an office procedure done under topical anesthesia. Subjective and objective postoperative assessment was based on self-and-family report and clinical assessment. Patients were reexamined 4 to 6 weeks post-treatment, and when the need for further laser treatment was determined.
Complete elimination of halitosis required one session in 28 patients (52.8%), 2 sessions in 18 patients (34%), and 3 sessions in 5 patients (9.4%). Follow-up period ranged from 3 to 36 months (mean, 20.8 +/- 8.5 months). No adverse effects or complications were encountered.
After excluding dental or periodontal, sinonasal, oral, pulmonary, or gastroenterological diseases as the origin of halitosis, chronic fetid tonsillitis remains a common cause of halitosis. Patients suffering from halitosis should be treated relying on their examination including Finkelstein's tonsil smelling test. Laser CO(2) cryptolysis is an effective, safe, and well-tolerated procedure for the treatment of halitosis.
评估扁桃体作为口臭来源的情况，并评估激光二氧化碳隐窝溶解术治疗慢性臭性扁桃体炎所致口腔异味的疗效。
53例因慢性臭性扁桃体炎导致口臭且完成激光隐窝溶解术的患者纳入本研究。通过芬克尔斯坦扁桃体嗅诊试验确定口臭来源，该试验包括按摩扁桃体并嗅闻挤出的分泌物。所有患者均接受激光隐窝溶解术治疗，这是一种在局部麻醉下进行的门诊手术。术后主观和客观评估基于患者自身及家属报告和临床评估。治疗后4至6周对患者进行复查，并确定是否需要进一步的激光治疗。
28例患者（52.8%）经一次治疗口臭完全消除，18例患者（34%）经两次治疗，5例患者（9.4%）经三次治疗。随访期为3至36个月（平均20.8±8.5个月）。未出现不良反应或并发症。
在排除口臭源于牙齿或牙周、鼻窦、口腔、肺部或胃肠疾病后，慢性臭性扁桃体炎仍是口臭的常见原因。口臭患者应依据包括芬克尔斯坦扁桃体嗅诊试验在内的检查进行治疗。激光二氧化碳隐窝溶解术是一种治疗口臭有效、安全且耐受性良好的方法。
