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Otolaryngol Head Neck Surg. 2008 Feb;138(2):153-157. doi: 10.1016/j.otohns.2007.11.006.

Intracapsular versus subcapsular coblation tonsillectomy.

Author information

1
Division of Pediatric Otolaryngology, Lucile Packard Children's Hospital at Stanford, Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, Stanford, CA 94305, USA. KChang@stanfordmed.org <KChang@stanfordmed.org>

Abstract

OBJECTIVE:

To compare the postoperative recovery of patients who undergo intracapsular to subcapsular Coblation tonsillectomy.

STUDY DESIGN AND SETTING:

This was a prospective, randomized, double-blinded study. A total of 69 children, aged 2 to 16 years, were randomized to intracapsular (n = 34) or subcapsular (n = 35) tonsillectomy. The Coblation technique was used with both groups. Outcomes measures were assessed on postoperative day 1 or 2 and 5 or 6. These included child and parental rating of pain with the Wong Faces pain scale, analgesic use, oral intake, and activity level.

RESULTS:

Intracapsular tonsillectomy patients had similar levels of pain to subcapsular tonsillectomy patients on day 1 or 2. However, at day 5 or 6, intracapsular tonsillectomy patients had significantly less pain than the subcapsular tonsillectomy patients. Intracapsular patients ate more and were more active at both time points.

CONCLUSION AND SIGNIFICANCE:

Children with obstructive sleep apnea who undergo tonsillectomy demonstrate better postoperative recovery after intracapsular tonsillectomy. The intracapsular versus subcapsular difference may be best appreciated at a delayed time point (day 5 or 6) rather than early (day 1 or 2).

PMID:
18241707
DOI:
10.1016/j.otohns.2007.11.006
[Indexed for MEDLINE]

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