Chronic
tonsillitis is a common disease, and several different surgical techniques are used to treat this condition. In recent years, techniques such as
radiofrequency ablation and coblation have been commonly used for tonsil surgery. In this report, we present the cases of two pediatric patients who developed ptosis,
miosis, and
enophthalmos (
Horner syndrome) after
radiofrequency ablation for tonsil reduction and discuss the technique of
radiofrequency ablation of the tonsils. In the early postoperative period,
miosis and ptosis were observed on the right side in one patient and on the left side in the other patient. Both patients were treated with 1 mg/kg/day
methylprednisolone, which were tapered by halving the dose every 3 days.
Miosis and ptosis improved
after treatment in both patients. Along with the case presentation, we discuss the effectiveness and complications of
radiofrequency ablation of the tonsils. These unusual complications of tonsil ablation may help ENT physicians who do not yet have a preferred surgical technique for
tonsillectomy to make an informed decision. Limited data are available about the possible complications of
radiofrequency ablation of the tonsils. The present report contributes to the literature on this topic.