Comparison of perioperative indicators, treatment efficacy, and postoperative complications between tonsillotomy and tonsillectomy for children with obstructive sleep apnea hypopnea syndrome

Ji, Chenqi; Yang, Haibin; Wu, Xiaoli; Hong, Yongjun

doi:10.1590/1806-9282.20211285

Cited by 2 publications

(1 citation statement)

References 13 publications

(16 reference statements)

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“…In another, 139 children were randomized to either ICT or ECT for management of OSA [8 ▪ ]. Efficacy was equivalent: 40.91% of patients undergoing ICT and 41.18% of patients undergoing ECT were cured, while partial effectiveness was shown in 93.9% and 97.1%, respectively [8 ▪ ].…”

Section: Obstructive Sleep Apneamentioning

confidence: 99%

Intracapsular tonsillectomy: setting a new standard

Bassett

2023

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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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 over that of extracapsular dissection. While the incidence of regrowth ranges depending on the study and duration of follow up, it remains acceptably low. The most consistent independent risk factor for revision surgery includes young age. Summary While total tonsillectomy is more thoroughly studied historically, an important absence in the literature is a definitive superiority over the intracapsular technique. With continued high-level studies, as well as additional examination of long-term outcomes, we should continue to see greater acceptance of intracapsular tonsillectomy as a standard of practice in a vulnerable population.

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Section: Obstructive Sleep Apneamentioning

confidence: 99%