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Journal articles on the topic 'Extracapsular tonsillectomy'

Author: Grafiati
Published: 3 June 2025
Last updated: 31 July 2025

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1

Erdélyi, Eszter, Gréta Csorba, Beáta Kiss-Fekete, et al. "Tonsillectomia versus tonsillotomia." Orvosi Hetilap 161, no. 45 (2020): 1920–26. http://dx.doi.org/10.1556/650.2020.31849.

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Összefoglaló. Bevezetés és célkitűzés: A szerzők a posztoperatív fájdalom és a sebgyógyulás tekintetében prospektív vizsgálattal hasonlították össze gyermekeken (67 fő, 1–12 év) a hagyományos hidegeszközzel történő extracapsularis tonsillectomiát (23 fő) a microdebriderrel (23 fő) és a coblatorral (21 fő) végzett intracapsularis tonsillotomiával. Módszer: A vizsgálatok a betegek által kitöltött kérdőívek, valamint prospektív klinikai adatgyűjtés alapján történtek. Eredmények: Az intracapsularis tonsillotomia gyógyulási idejét 50%-kal rövidebbnek találtuk, és az első 13 napban szignifikánsan ke
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Elfatah, Ahmed, Ahmed Samnody, and Mohamed Ibrahim. "Intracapsular versus extracapsular coblation tonsillectomy." Egyptian Journal of Ear, Nose, Throat and Allied Sciences 24, no. 24 (2023): 1–6. http://dx.doi.org/10.21608/ejentas.2023.201926.1623.

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3

Станишевский, Р. О., А. В. Теплов, А. И. Кулинич та Н. Р. Станишевский. "Интракапсулярная и экстракапсулярная коблационная тонзиллэктомия". Оториноларингология. Восточная Европа 14, № 3 (2024): 377–84. http://dx.doi.org/10.34883/pi.2024.14.3.020.

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Цель. Оценить кровопотерю, болевой синдром и безопасность применения холодной плазмы при удалении небных миндалин интракапсулярно и экстракапсулярно. Материалы и методы. Объектом исследования стали 58 пациентов с диагнозом «хронический тонзиллит, декомпенсированная форма». Пациенты были разделены на 2 группы по 29 человек в каждой. В 1-й группе выполнялась интракапсулярная коблационная тонзиллэктомия, во 2-й – экстракапсулярная коблационная тонзиллэктомия. Интраоперационно оценивались объем кровопотери и время, затраченное на операцию. В течение 10 дней регистрировались случаи ранних и отсроче
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Masalha, Muhamed, Are DeRowe, Roee Landsberg, et al. "Is Postextracapsular Tonsillectomy Bleeding More Common on the Side of the Surgeon’s Nondominant Hand?" Otolaryngology–Head and Neck Surgery 165, no. 3 (2021): 419–23. http://dx.doi.org/10.1177/0194599820982636.

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Objectives To determine the difference in bleeding when extracapsular tonsillectomy with electrocautery is performed on the dominant and nondominant side of the surgeon’s hands. Study Design Retrospective cohort study. Setting Academic university hospital. Methods Medical record data of patients who were admitted with posttonsillectomy bleeding from January 1, 2000, to July 31, 2017, were reviewed. Included were age, sex, surgical indication, side of posttonsillectomy bleeding, and time of bleeding. Information on the surgeon’s dominant hand was also collected. All patients underwent total ext
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Egamberdieva, Z., F. Nurmukhamedova, D. Jabbarova, and K. Salomov. "Efficiency of surgical treatment methods for chronic tonsillitis in a comparative perspective." InterConf, no. 39(179) (November 20, 2023): 298–307. http://dx.doi.org/10.51582/interconf.19-20.11.2023.032.

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Background: Tonsillectomy is a common surgical procedure performed for various indications, and different techniques have been developed for its execution. One such method is coblation, which utilizes controlled radiofrequency energy to remove tonsil tissue. In this study, we compared coblation with a new monopolar electrosurgical extracapsular tonsillectomy technique. Methods: A prospective clinical investigation was conducted at the Department of Otorhinolaryngology and Pediatric Otorhinolaryngology at the "Happy Life" Clinic. The study included 45 patients aged 6–18 years who had undergone
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6

Junaid, M., S. Sood, H. Walijee, J. Dorgham, and S. De. "Pain scores and recovery post tonsillectomy: intracapsular versus extracapsular coblation." Journal of Laryngology & Otology 133, no. 09 (2019): 775–81. http://dx.doi.org/10.1017/s0022215119001610.

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AbstractObjectiveThis study compared post-tonsillectomy pain scores and recovery using the coblation-only technique, comparing extracapsular versus intracapsular approaches.MethodsA prospective study was performed in our paediatric ENT department. Pain scores were recorded on days 0, 2, 4 and 8, using a visual analogue scale ranging from 0 (no pain) to 10 (extreme pain). Information was also collected on: return to normal fluid and solid intake, and any post-operative visits to primary care.ResultsIn total, 101 patients were included in the analysis. Average pain scores were statistically lowe
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7

Abd Elmonem, Mohamed Sherif, Ashraf Khaled, Mostafa Hashim, and Rabie Youssef. "Comparative study Between intracapsular microdebrider tonsillectomy and extracapsular conventional surgical tonsillectomy." Egyptian Journal of Medical Research 4, no. 1 (2023): 43–56. http://dx.doi.org/10.21608/ejmr.2022.179848.1294.

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8

Lu, Ying-Xia, Qing-Long Gu, Zhan Wang, Bing Zhang, Chang Liu, and Jie-Qiong Liang. "Pediatric coblation total tonsillectomy: intracapsular or extracapsular?" Acta Oto-Laryngologica 137, no. 11 (2017): 1188–93. http://dx.doi.org/10.1080/00016489.2017.1341642.

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9

Kamel, AhmedA, MostafaM Eldwebes, SherifI Gabr, KhaledA Harhash, and MahmoudS El Fouly. "Microdebrider intracapsular tonsillotomy versus conventional extracapsular tonsillectomy." Egyptian Journal of Otolaryngology 30, no. 3 (2014): 220. http://dx.doi.org/10.4103/1012-5574.138476.

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10

Piitulainen, Jaakko Matias, Tapani Uusitalo, Henrik M. Sjöblom, et al. "Intracapsular tonsillectomy in the treatment of recurrent and chronic tonsillitis in adults: a protocol of a prospective, single-blinded, randomised study with a 5-year follow-up (the FINITE trial)." BMJ Open 12, no. 9 (2022): e062722. http://dx.doi.org/10.1136/bmjopen-2022-062722.

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IntroductionThe standard surgical treatment for recurrent or chronic tonsillitis is extracapsular tonsillectomy. Recent studies show that intracapsular tonsillectomy has the potential to reduce the postoperative morbidity of patients undergoing tonsil surgery. The Finnish Intracapsular Tonsillectomy (FINITE) trial aims to provide level I evidence to support the hypothesis that the recovery time from tonsil surgery can be reduced with intracapsular tonsillectomy. Additionally, from this trial, major benefits in quality of life, reduction of postoperative complications, treatment costs and throa
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Cohen, Michael S., Anne E. Getz, Glenn Isaacson, John Gaughan, and Wasyl Szeremeta. "Intracapsular vs. Extracapsular Tonsillectomy: A Comparison of Pain." Laryngoscope 117, no. 10 (2007): 1855–58. http://dx.doi.org/10.1097/mlg.0b013e318123ee40.

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12

Keefe, M. A. "Intracapsular vs. Extracapsular Tonsillectomy: A Comparison of Pain." Yearbook of Otolaryngology-Head and Neck Surgery 2008 (January 2008): 110–11. http://dx.doi.org/10.1016/s1041-892x(08)79154-6.

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13

Osman, Mohammed, Mariam Tony, and Ali Abd El-Hakim. "Microdebrider Intracapsular Tonsillectomy and Traditional Extracapsular Dissection Tonsillectomy in Children: A Comparative Study." Egyptian Journal of Neck Surgery and Otorhinolaryngology 5, no. 2 (2019): 1–8. http://dx.doi.org/10.21608/ejnso.2019.57903.

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14

Ryu, Yoon-Jong, Jee-Hye Wee, Woo-Hyun Lee, Jihye Rhee, and Jeong-Whun Kim. "Combined extracapsular and intracapsular tonsillectomy: Lower pole capsule preservation." Laryngoscope 124, no. 7 (2013): 1557–61. http://dx.doi.org/10.1002/lary.24370.

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15

Ryabova, M. A., M. Yu Ulupov, N. A. Shumilova, O. M. Kolesnikova, and Yu V. Legkova. "Comparison of pain after laser and traditional extracapsular tonsillectomy." Vestnik otorinolaringologii 88, no. 2 (2023): 38. http://dx.doi.org/10.17116/otorino20228802138.

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16

Baik, Grace, and Scott E. Brietzke. "Comparison of Pediatric Intracapsular Tonsillectomy and Extracapsular Tonsillectomy: A Cost and Utility Decision Analysis." Otolaryngology–Head and Neck Surgery 158, no. 6 (2018): 1113–18. http://dx.doi.org/10.1177/0194599818760513.

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Objectives To use decision analysis modeling to compare utility and cost outcomes of intracapsular tonsillectomy (ICT) and extracapsular tonsillectomy (ECT). To use sensitivity analysis to determine the most important factors influencing outcomes favoring one surgical method versus another. Study Design Decision analysis model. Setting Hypothetical cohort. Subjects and Methods A decision analysis model was created with computer software comparing the results of ICT and ECT. The model featured complications with completion tonsillectomy, such as postsurgical bleed, dehydration, and tonsillar re
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Mesolella, Massimo, Salvatore Allosso, Valentina Coronella, et al. "Extracapsular Tonsillectomy versus Intracapsular Tonsillotomy in Paediatric Patients with OSAS." Journal of Personalized Medicine 13, no. 5 (2023): 806. http://dx.doi.org/10.3390/jpm13050806.

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Objective: The objective of our study was to compare our experience of intracapsular tonsillotomy performed with the help of a microdebrider usually used for adenoidectomy with results obtained from extracapsular surgery through dissection and from adenoidectomy in cases of people affected with OSAS, linked to adeno-tonsil hypertrophy, observed and treated in the last 5 years. Methods: 3127 children with adenotonsillar hyperplasia and OSAS-related clinical symptoms (aged between 3 and 12 years) underwent tonsillectomy and/or adenoidectomy. A total of 1069 patients (Group A) underwent intracaps
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Amin, Nikul, and Raj Lakhani. "Intracapsular versus extracapsular dissection tonsillectomy for adults: A systematic review." Laryngoscope 130, no. 10 (2019): 2325–35. http://dx.doi.org/10.1002/lary.28435.

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Isaacson, Glenn. "Inside-Out Complete Tonsillectomy: Extended Intracapsular Tonsillectomy for Severe Sore Throat." Annals of Otology, Rhinology & Laryngology 114, no. 10 (2005): 757–61. http://dx.doi.org/10.1177/000348940511401004.

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Objectives: This consecutive case series is presented to describe inside-out complete tonsillectomy and to assess its effects on postoperative pain and bleeding and its initial effectiveness in controlling recurrent sore throat and peritonsillar abscess formation. Methods: Bipolar electrosurgical scissors are used for bloodless resection of 90% of the tonsillar mass. During controlled resection, tonsil tissue is intentionally left at the superior and inferior poles and at the deepest part of the tonsillar fossa to provide coverage for nutrient arteries and the tonsillar plexus of veins. This t
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Mukhatiyar, Pamela, Kiran Nandalike, Hillel W. Cohen, et al. "Intracapsular and Extracapsular Tonsillectomy and Adenoidectomy in Pediatric Obstructive Sleep Apnea." JAMA Otolaryngology–Head & Neck Surgery 142, no. 1 (2016): 25. http://dx.doi.org/10.1001/jamaoto.2015.2603.

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21

Castaño, Johnathan E., Monika E. Freiser, and Hassan H. Ramadan. "Complications Following Inpatient Extracapsular Tonsillectomy in Children 36 Months and Younger." JAMA Otolaryngology–Head & Neck Surgery 142, no. 3 (2016): 270. http://dx.doi.org/10.1001/jamaoto.2015.3562.

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22

Zhong, J. "Comparison of the rate of delayed bleeding in children with intracapsular tonsillectomy and extracapsular tonsillectomy by coblation." Sleep Medicine 115 (February 2024): 338. http://dx.doi.org/10.1016/j.sleep.2023.11.914.

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23

Ikram, Muhammad Aimen, Muhammad Saleem Afridi, Arshad Farzoq, Zubair ., Ihtesham Ullah, and Wasim Sajjad. "Complications of Pediatric Tonsillectomies at Divisional Headquarter Teaching Hospital Kohat: Descriptive Case Series Study." Biological and Clinical Sciences Research Journal 6, no. 2 (2025): 19–22. https://doi.org/10.54112/bcsrj.v6i2.1552.

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Tonsillectomy is a commonly performed surgical procedure in pediatric patients for recurrent tonsillitis and obstructive sleep apnea. Despite its effectiveness, postoperative complications can impact recovery and patient outcomes. Identifying the frequency and nature of these complications can aid in optimising perioperative management and reducing morbidity. Objective: This study aimed to determine the frequency of complications following pediatric tonsillectomy. Methodology: A descriptive case series was conducted at the Department of ENT, Divisional Headquarter Teaching Hospital Kohat. One
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Bugten, Vegard, Siri Wennberg, Marit Furre Amundsen, and Martin Andre Brevik Blindheimsvik. "Reducing post-tonsillectomy haemorrhage: a multicentre quality improvement programme incorporating video-based cold technique instruction." BMJ Open Quality 11, no. 4 (2022): e001887. http://dx.doi.org/10.1136/bmjoq-2022-001887.

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ObjectiveData from the Norwegian Tonsil Surgery Register (NTSR) showed large differences between the hospitals in Norway in the readmission rate due to post-tonsillectomy haemorrhage (rrPTH; range, 0%–25%; national average, 8%). Because of these large variations in the rrPTH, we conducted a quality improvement project involving hospitals with good and bad readmission rates.MethodsSeven hospitals with readmission rates greater than 10% and four with rates lower than 5% participated in this project. We recorded videos of ear, nose and throat surgeons from the hospitals with low readmission rates
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Jeon, Jae-Min, Jeong-Rok Kim, Seung-Hwan Bang, et al. "Comparison of Functional Outcomes after Powered Intracapsular Tonsillectomy with Adenoidectomy and Conventional Extracapsular Tonsillectomy with Adenoidectomy for Pediatric Obstructive Sleep Apnea." Korean Journal of Otorhinolaryngology-Head and Neck Surgery 63, no. 4 (2020): 167–71. http://dx.doi.org/10.3342/kjorl-hns.2019.00339.

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Background and Objectives This study was investigated to compare the clinical outcomes and complications of powered intracapsular tonsillectomy and adenoidectomy (PITA) with those of conventional extracapsular tonsillectomy and adenoidectomy (ECTA) in treatment of pediatric obstructive sleep apnea (OSA).Subjects and Method Eighty-one children with adenotonsillar hyperplasia underwent tonsillectomy and adenoidectomy (46 PITA and 35 ECTA) from December 2016 to July 2017 for OSA. The choice of surgical procedure (PITA vs. ECTA) was determined by the number of episodes of acute tonsillitis. The qu
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Mukerji, Shraddha S., Smruti Rath, Wynne Q. Zhang, et al. "Extracapsular versus intracapsular tonsillectomy: Outcomes in children with a focus on developmental delay." International Journal of Pediatric Otorhinolaryngology 152 (January 2022): 110978. http://dx.doi.org/10.1016/j.ijporl.2021.110978.

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Xu, Hongming, Shuyao Qiu, Shilei Pu, Bin Hu, Dabo Liu, and Xiaoyan Li. "Multicentre clinical study of haemorrhage after coblation tonsillectomy in children: a prospective study protocol." BMJ Open 13, no. 1 (2023): e063401. http://dx.doi.org/10.1136/bmjopen-2022-063401.

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IntroductionPost-tonsillectomy haemorrhage (PTH) is the most common and significant life-threatening complication following tonsillectomy, especially in children. Coblation tonsillectomy (CTE) at low temperature is extensively used in China and has gradually replaced conventional tonsil dissection. However, risk of late PTH has been shown to increase with the use of hot instruments. The aim of this study is to detect post-CTE haemorrhage (PCTH) rates and analyse risk factors of PCTH in China, through a nationwide multicentre prospective study.Methods and analysisThis investigator-initiated, pr
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Komarov, M. V., and G. S. Maltseva. "Bleeding after tonsillectomy: search for additional risk factors." Meditsinskiy sovet = Medical Council, no. 18 (November 13, 2024): 104–11. http://dx.doi.org/10.21518/ms2024-456.

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Introduction. Currently, the most common method of surgical treatment of patients suffering from chronic decompensated tonsillitis is bilateral extracapsular tonsillectomy (ТЕ). The most dangerous and common complication of this surgical method is postoperative bleeding from the area of the surgical wound, leading to repeated medical treatment and the development of hemodynamic disorders. The frequency of postoperative bleeding after TE is estimated by the authors in a different range depending on the research methodology and can reach 21.8%Aim. To search for additional factors determining the
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Soaper, Ashley L., Zrria L. Richardson, Judy L. Chen, and Mark E. Gerber. "Pediatric tonsillectomy: A short-term and long-term comparison of intracapsular versus extracapsular techniques." International Journal of Pediatric Otorhinolaryngology 133 (June 2020): 109970. http://dx.doi.org/10.1016/j.ijporl.2020.109970.

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Jotić, Ana, Katarina Savić Vujović, Jovica Milovanović, et al. "Pain Management After Surgical Tonsillectomy: Is There a Favorable Analgesic?" Ear, Nose & Throat Journal 98, no. 6 (2019): 356–61. http://dx.doi.org/10.1177/0145561319846065.

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The aim of this study was to examine how ibuprofen and paracetamol prevent pain after cold-steel extracapsular tonsillectomy in children. Also, we examined the relation between age, gender, nausea, postoperative bleeding, antibiotic use, type of diet, and postoperative pain intensity and the type of administered analgesic. A prospective study was conducted on 147 children (95 males and 52 females, aged 7-17 years) who underwent tonsillectomy in the Clinical-Hospital Center “Dragiša Mišović” from January 1 to June 30, 2016. The degree of pain was measured using a visual analog scale (VAS). We d
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Passàli, Desiderio, Valerio Damiani, Giulio Cesare Passàli, Francesco Maria Passàli, Antonio Boccazzi, and Luisa Bellussi. "Structural and Immunological Characteristics of Chronically Inflamed Adenotonsillar Tissue in Childhood." Clinical Diagnostic Laboratory Immunology 11, no. 6 (2004): 1154–57. http://dx.doi.org/10.1128/cdli.11.6.1154-1157.2004.

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ABSTRACT Recurrent or chronic adenotonsillar infections mainly affect children and frequently involve otherwise healthy subjects. Therefore, having excluded systemic immunological deficiencies, this disease may be due to a local dysfunction of the epithelial structures at either the rhino or oropharyngeal level. The aim of the present investigation was to analyze structural and immunological aspects of tonsils and adenoids in subjects who underwent adenotonsillectomy because of recurrent inflammatory episodes with fever. Histological studies and analyses of the cytokine patterns were carried o
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Kim, Heejin, Sung Won Li, Sung Min Park, et al. "Feasibility of Powered Intracapsular Tonsillectomy in Pediatric Patients with Tonsil Problem, Including Recurrent Tonsillitis: A Single Surgeon’s Experience." ORL 82, no. 6 (2020): 335–42. http://dx.doi.org/10.1159/000509479.

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<b><i>Introduction:</i></b> Powered intracapsular tonsillectomy (PIT) is a technique that protects the tonsillar capsule by using a microdebrider, resulting in faster wound-healing and reduced suffering. Many studies have found PIT to be effective, particularly in pediatric patients with obstructive sleep apnea (OSA). However, previous studies have not included patients with a history of recurrent tonsillitis. <b><i>Objective:</i></b> The aim of this study was to determine the efficacy of PIT in pediatric patients even with a history of recurrent
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Vicini, Claudio, Mohamed Eesa, Ehsan Hendawy, et al. "Powered intracapsular tonsillotomy vs. conventional extracapsular tonsillectomy for pediatric OSA: A retrospective study about efficacy, complications and quality of life." International Journal of Pediatric Otorhinolaryngology 79, no. 7 (2015): 1106–10. http://dx.doi.org/10.1016/j.ijporl.2015.04.041.

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Hidaya, Qarqani Bukhari, Hameed Madloul Majed, Ibrahim Alorinan Bayan, Khalid Albarrak Nora, Alotaibi Waad, and A.M. El-Sayed Saber. "Prevalence study of acute tonsillitis among pediatrics age groups." International Journal of Medical Reviews and Case Reports 3, no. 3 (2019): 99–103. https://doi.org/10.5455/IJMRCR.acute-tonsilitis-pediatrics.

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Tonsils and adenoids are the body's first line of defense at the oropharyngeal pathway. They "sample" bacteria and viruses that enter the body through the mouth or nose.Tonsillitis is inflammation of tonsils, a common clinical condition often encountered in Pediatrics and E.N.T. practice. The management of this condition is often empirical with the choice of antibiotics not based on any culture reports. The increasing incidence of resistance in many organisms is due to β-lactamase production and resistance transfer factors that leads to unsuccessful medical therapy which results in recurr
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Abdelmaksoud, Aida A., Ahmed G. Abdelreheem, and Usama K. Tayee. "Intracapsular coblation tonsillotomy versus extracapsular coblation tonsillectomy." Egyptian Journal of Otolaryngology 37, no. 1 (2021). http://dx.doi.org/10.1186/s43163-021-00071-3.

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Abstract Background Recently, coblation technique is used in many neck surgeries; there are few studies dealing with coblation in the field of tonsillectomy either intracapsular or extracapsular tonsillectomy. The aim of this study is to evaluate the efficacy of using coblation in extracapsular tonsillectomy (preserving the capsule) over using it in intracapsular tonsillectomy (total). Results There is statistically difference between results of extracapsular tonsillectomy and intracapsular tonsillectomy as regards postoperative pain according VAS scale (4.36 ± 2.413 vs 3.6 ± 2.041 with p valu
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"POSTOPERATIVE BLEEDING AFTER MICRODEBRIDER-ASSISTED INTRACAPSULAR TONSILLECTOMY AND EXTRACAPSULAR TONSILLECTOMY. A RETROSPECTIVE COHORT STUDY." International Research Journal of Otolaryngology, 2022, 11. http://dx.doi.org/10.28933/irjo-2021-12-2105.

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Introduction: Post-tonsillectomy bleeding is one of the most common complications of tonsillectomy. The rate varies with different methods. Objective: The purpose of the study was to compare the prevalence of postoperative bleeding after total, extracapsular tonsillectomy, and after subtotal, intracapsular, microscope- and microdebrider- assisted tonsillectomy. Methods: We retrospectively analyzed patients who underwent a tonsillectomy in a period of two years. We compared two surgical methods, extracapsular tonsillectomy and microscope- and microdebrider-assisted intracapsular tonsillectomy.
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Naidoo, J., and KD Schlemmer. "Intracapsular Tonsillectomy vs Extracapsular Tonsillectomy : A Safety Comparison." Journal of Laryngology & Otology, September 29, 2021, 1–18. http://dx.doi.org/10.1017/s0022215121002565.

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Wilson, B., L. Li, A. Gomati, and A. Sharma. "400 A Comparative Study of Intracapsular & Extracapsular Coblation Paediatric Tonsillectomy in A Tertiary Centre." British Journal of Surgery 108, Supplement_6 (2021). http://dx.doi.org/10.1093/bjs/znab259.547.

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Abstract Background Intracapsular tonsillectomy has emerged as a novel alternative to traditional tonsillectomy where the tonsillar capsule is left intact with a small amount of overlying tonsillar tissue. There is growing evidence to suggest that intracapsular tonsillectomy is associated with reduced post-operative pain, haemorrhage and readmission rates. The aim of this study was to assess the reported benefits of intracapsular tonsillectomy within the ENT department at a tertiary paediatric hospital. Method Retrospective analysis comparing two cohorts of 72 consecutive paediatric patients u
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Raghavan, Maya, Annie Farrell, Michael Cipolla, Michele M. Carr, and Clarice Brown. "Review of intracapsular vs extracapsular tonsillectomy." Operative Techniques in Otolaryngology-Head and Neck Surgery, September 2023. http://dx.doi.org/10.1016/j.otot.2023.09.006.

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Balasubramanian, Thiagarajan. "Coblation Tonsillectomy our experience." Otoloaryngology Online, March 15, 2014. https://doi.org/10.5281/zenodo.812334.

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Tonsillectomy happens to be the commonly performed surgery these days. Like any other surgical procedure this surgical procedure has also undergone tremendous technological changes. One such evolving change happens to be coblation tonsillectomy. Coblation technology is actually an offshoot of radiofrequency surgery. This technique involves passing radiofrequency energy through a conductive medium like isotonic sodium chloride or potassium chloride solution. This produces a plasma field which is composed of sodium and hydroxyl ions which ablates tissue. This tissue ablation takes place at (60-7
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Lou, Zhengcai. "Associations Between Post-tonsillectomy Hemorrhage and Anatomical Subsites of the Tonsillar Fossa." Ear, Nose & Throat Journal, April 6, 2023, 014556132311692. http://dx.doi.org/10.1177/01455613231169235.

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Objective This study presents a novel classification of the anatomical subsites of the tonsillar fossa and discusses their associations with post-tonsillectomy hemorrhage (PTH) after extracapsular tonsillectomy. Materials and Methods Coblation tonsillectomy was performed on three adult cadavers and the anatomical subsites of the tonsillar fossa based on the distribution of the tonsillar feeding artery: the upper pole (subsite A), most of the tonsil body (subsite B), the inferior tonsil body (subsite C), and components of the lower pole (subsites D and E). Extracapsular tonsillectomy was prospe
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42

Russo, Elena, Bianca Maria Festa, Andrea Costantino, Alice Bernardocchi, Giuseppe Spriano, and Armando De Virgilio. "Postoperative Morbidity of Different Tonsillectomy Techniques: A Systematic Review and Network Meta‐Analysis." Laryngoscope, October 16, 2023. http://dx.doi.org/10.1002/lary.31116.

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ObjectiveTo compare different tonsillectomy techniques in terms of postoperative bleeding incidence and postoperative pain.MethodsAn arm‐based network analysis was conducted using a Bayesian hierarchical model. The primary and secondary outcomes were postoperative bleeding incidence and mean postoperative pain score.ResultsA total of 6464 patients were included for five different interventions (cold dissection tonsillectomy; extracapsular coblation tonsillectomy; intracapsular coblation tonsillectomy [ICT]; bipolar diathermy tonsillectomy [BDT]; monopolar diathermy tonsillectomy). ICT showed t
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43

Bassett, Ethan. "Intracapsular tonsillectomy: setting a new standard." Current Opinion in Otolaryngology & Head & Neck Surgery, October 10, 2023. http://dx.doi.org/10.1097/moo.0000000000000935.

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Purpose of review Tonsillectomy is one of the most common surgical procedures performed on children in the United States. Since 2002, the intracapsular technique has been studied as a safer and less painful alternative to total tonsillectomy. Concerns have been raised, however, as to the potential for regrowth and long-term outcomes regarding this technique. Recent findings Studies support the use of intracapsular tonsillectomy in the management of sleep disordered breathing, including in syndromic populations, as well as for tonsillitis. In addition, safety profiles continue to be improved ov
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Kulich, Marta, Samantha Bothwell, and Norman R. Friedman. "Comparison of Healthcare Utilization After Intracapsular and Extracapsular Tonsillectomy." Laryngoscope, July 4, 2025. https://doi.org/10.1002/lary.32398.

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ABSTRACTObjectiveThe objective of this study was to analyze differences in postoperative healthcare utilization between intracapsular tonsillectomy (ICT) and traditional extracapsular tonsillectomy (ECT). Identifying approaches that reduce postoperative healthcare utilization may help optimize resource use and improve value‐based care delivery.MethodsThis was a retrospective cohort study of patients who underwent either ICT or ECT at a tertiary care children's hospital between 2019 and 2024. The chart was reviewed for demographics, pain medication administration, unplanned nursing phone calls,
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Daskalakis, Dimitrios, Nikolaos Tsetsos, Stella Karagergou, John Goudakos, Konstantinos Markou, and Peter Karkos. "Intracapsular coblation tonsillectomy versus extracapsular coblation tonsillectomy: a systematic review and a meta-analysis." European Archives of Oto-Rhino-Laryngology, July 4, 2020. http://dx.doi.org/10.1007/s00405-020-06178-2.

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Chorney, Stephen R., Romaine F. Johnson, and Ron B. Mitchell. "Cost‐Utility Analysis of Intracapsular and Extracapsular Techniques for Pediatric Tonsillectomy." Laryngoscope, July 23, 2025. https://doi.org/10.1002/lary.32448.

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ABSTRACTObjectivesTo determine the incremental cost‐effectiveness of intracapsular pediatric tonsillectomy.MethodsA prospective cohort with cost‐utility analysis included all ambulatory and observation tonsillectomies on pediatric patients (< 18 years) at a tertiary children's hospital between 2020 and 2024. Intracapsular coblation tonsillectomy (ICT) or extracapsular tonsillectomy (ECT) was performed with 30‐day outcomes used for model inputs. Costs were expressed in US dollars from the perspective of a hospital system. Utility was based on published ranges.ResultsThere were 5425 tonsillec
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Thompson, N., and I. Street. "709 A Prospective Analysis of Post-Tonsillectomy Haemorrhage and Hospital Reamission Rates in A Tertiary Pediatric Centre." British Journal of Surgery 108, Supplement_6 (2021). http://dx.doi.org/10.1093/bjs/znab259.554.

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Abstract Introduction Tonsillectomies are one of the most commonly performed procedures., with one particular leading tertiary paediatric centre performing 1,067 tonsillectomies within the last year. Post-tonsillectomy haemorrhage is a considerable complication leading to further primary care costs, readmission, and surgical intervention. Previous national audits have suggested that post-tonsillectomy haemorrhage rates are between 3.0-3.5%1 and readmission rates are approximately 8.8%2. Aim Assess post-tonsillectomy haemorrhage and readmission rates at a leading tertiary paediatric centre. Met
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Lou, Zhengcai, Zihan Lou, Tian Lv, and Zhengnong Chen. "A prospective, randomized, single‐blind study comparing coblation and monopolar extracapsular tonsillectomy." Laryngoscope Investigative Otolaryngology, March 29, 2022. http://dx.doi.org/10.1002/lio2.789.

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Thamer, M., I. Soltan, S. Ojha, T. Sinclair, M. Saunders, and J. Gaskin. "286 Two-Cycle Audit on Post-Tonsillectomy Analgesia." British Journal of Surgery 110, Supplement_7 (2023). http://dx.doi.org/10.1093/bjs/znad258.094.

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Abstract Objective To assess whether children undergoing tonsillectomy were receiving adequate analgesia postoperatively and comparison made against national standards. Implementation of new ibuprofen dosage guidance, reducing opioid prescribing, and assessment of whether this impacts re-admission rates for post tonsillectomy pain and bleeding. Method Retrospective audit of tonsillectomies performed over a 5-month period in 2021 and prospective audit over the same time period in 2022, with new ibuprofen prescribing guidelines (7.5mg/kg QDS compared with 5mg/kg TDS previously) and effect on red
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Peterson, Andrew M., Spencer R. Bockover, Dorina Kallogjeri, et al. "Unilateral vs Bilateral Transoral Robotic Surgery for HPV-Positive Tonsillar Squamous Cell Carcinoma." JAMA Otolaryngology–Head & Neck Surgery, July 10, 2025. https://doi.org/10.1001/jamaoto.2025.1833.

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ImportanceThe palatine tonsil is the most common subsite of human papillomavirus (HPV)–related oropharyngeal squamous cell carcinoma (SCC). There is debate on how to manage the contralateral clinically uninvolved tonsil in patients undergoing a primary surgical approach via transoral robotic surgery (TORS).ObjectiveTo assess postoperative complications, functional outcomes, contralateral tonsil second primary rates, and survival in patients undergoing unilateral vs bilateral TORS with pathology-guided adjuvant treatment.Design, Setting, and ParticipantsA retrospective cohort study was carried
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