Laser cryptolysis or coblation cryptolysis is a treatment option for tonsilloliths that aims to achieve what specific outcome?

 # Laser cryptolysis or coblation cryptolysis is a treatment option for tonsilloliths that aims to achieve what specific outcome?

a) Chemically dissolve the stone using a laser beam.

b) Widen and smooth the tonsillar crypts to prevent debris retention.

c) Completely remove the entire tonsil under local anesthesia.

d) Inject sclerosing agents into the crypts to stop mucus production

The correct answer is b) Widen and smooth the tonsillar crypts to prevent debris retention.

Laser cryptolysis (using CO₂ or diode lasers) and coblation cryptolysis (radiofrequency plasma ablation) are office-based, minimally invasive treatments for symptomatic tonsilloliths, targeting the deep, irregular tonsillar crypts without full tonsil removal. By vaporizing or reshaping the epithelial lining, they flatten crypt surfaces, reduce branching invaginations, and promote better drainage—decreasing debris accumulation, bacterial biofilms, and stone recurrence (success rates 70–90% at 1–2 years per studies in Lasers in Medical Science and Otolaryngology–Head and Neck Surgery). Performed under local anesthesia, they preserve tonsillar tissue and immunity while addressing halitosis or foreign body sensation. The other options misrepresent the procedures: no chemical dissolution (a), not complete excision (c), and no sclerosing injections (d). For refractory cases, escalate to tonsillectomy.