Intracapsular partial tonsillectomy for tonsillar hypertrophy in children

Peter J. Koltai, C. Arturo Solares, Edward J. Mascha, Meng Xu

Research output: Contribution to journalArticle

134 Citations (Scopus)

Abstract

Objective: To review our experience with intracapsular tonsillectomy using powered instrumentation in the management of tonsillar hypertrophy causing obstructive sleep-disordered breathing in children. Study Design: Retrospective case series. Methods: Intracapsular tonsillectomy, a form of partial tonsillectomy performed with an endoscopic microdebrider, preserves the tonsillar capsule as a barrier to exposure of the pharyngeal muscles. Results in 150 children who underwent this procedure were compared with those in 162 children who had standard tonsillectomy. Results: Children who underwent intracapsular tonsillectomy had significantly less pain throughout the recovery period than those who had standard tonsillectomy. There was no significant difference between the two groups in intraoperative blood loss, and no episodes of immediate postoperative bleeding occurred in either group. Six patients who had the standard operation and one patient who had the intracapsular procedure had delayed hemorrhage requiring hospital readmission. Five children in the standard group and one in the intracapsular group were readmitted because of dehydration. Thus, in all, 11 readmissions were necessary among children who underwent standard tonsillectomy, whereas 2 were required among those who had intracapsular tonsillectomy. Conclusion: Intracapsular tonsillectomy is as effective as standard tonsillectomy in relieving obstructive sleep-disordered breathing but produces less postoperative pain and fewer episodes of delayed hemorrhage and dehydration.

Original languageEnglish (US)
Pages (from-to)17-19
Number of pages3
JournalLaryngoscope
Volume112
Issue number8
DOIs
StatePublished - Jan 1 2002

Fingerprint

Tonsillectomy
Hypertrophy
Sleep Apnea Syndromes
Hemorrhage
Dehydration
Pharyngeal Muscles
Patient Readmission
Postoperative Pain
Capsules
Retrospective Studies
Pain

Keywords

  • Intracapsular tonsillectomy
  • Microdebrider
  • Obstructive sleep apnea
  • Pediatric
  • Tonsillar hypertrophy
  • Tonsillectomy
  • Tonsillotomy

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Intracapsular partial tonsillectomy for tonsillar hypertrophy in children. / Koltai, Peter J.; Solares, C. Arturo; Mascha, Edward J.; Xu, Meng.

In: Laryngoscope, Vol. 112, No. 8, 01.01.2002, p. 17-19.

Research output: Contribution to journalArticle

Koltai, PJ, Solares, CA, Mascha, EJ & Xu, M 2002, 'Intracapsular partial tonsillectomy for tonsillar hypertrophy in children', Laryngoscope, vol. 112, no. 8, pp. 17-19. https://doi.org/10.1002/lary.5541121407
Koltai, Peter J. ; Solares, C. Arturo ; Mascha, Edward J. ; Xu, Meng. / Intracapsular partial tonsillectomy for tonsillar hypertrophy in children. In: Laryngoscope. 2002 ; Vol. 112, No. 8. pp. 17-19.
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