Skip to main content
The Egyptian Journal of Otolaryngology
Download PDF
  • Original article
  • Open access
  • Published:

Microdebrider intracapsular tonsillotomy versus conventional extracapsular tonsillectomy

The Egyptian Journal of Otolaryngology volume 30, pages 220–224 (2014)Cite this article

En

Abstract

Objective

The aim of the study was to evaluate the efficiency of microdebrider intracapsular tonsillotomy compared with conventional extracapsular tonsillectomy.

Patients and methods

The study included 40 patients assigned to undergo tonsillectomy. Patients were divided randomly into two equal groups: group A included 20 patients who underwent microdebrider intracapsular tonsillotomy and group B included 20 patients who underwent conventional extracapsular tonsillectomy. Items of comparison between the two groups included time of operation, estimated blood loss, postoperative pain, rate of postoperative hemorrhage, tonsillar fossa healing, swallowing, and complications rate.

Results

Regarding intraoperative blood loss, the conventional group had significantly lower blood loss (P < 0.05). The microdebrider group showed significantly less pain and better swallowing function (P < 0.05) than the conventional group. There were no significant differences in operative time or wound healing. No postoperative complications such as recurrence or hemorrhage were detected in either group.

Conclusion

Microdebrider intracapsular tonsillotomy is an effective method to remove tonsillar tissue. There was significantly less pain and better swallowing function compared with the conventional extracapsular tonsillectomy group.

References

  1. Grundfast KM, Wittich DJJr. Adenotonsillar hypertrophy and upper airway obstruction in evolutionary perspective. Laryngoscope 1982; 92: 650–656.

    Article  CAS  Google Scholar 

  2. Darrow DH, Siemens C. Indications for tonsillectomy and adenoidectomy. Laryngoscope 2002; 112: 6–10.

    Article  Google Scholar 

  3. Maddern BR. Electrosurgery for tonsillectomy. Laryngoscope 2002; 112: 11–13.

    Article  Google Scholar 

  4. YuShan LW, David MM, Augustine LM. Comparison of three common tonsillectomy techniques: a prospective randomized, double-blinded clinical study. Laryngoscope 2009; 119: 162–170.

    Article  Google Scholar 

  5. Timms MS, Temple RH. Coblation tonsillectomy: a double blind randomized controlled study. J Laryngol Otol 2002; 116: 450–452.

    Article  CAS  Google Scholar 

  6. Koltai PJ, Solares CA, Mascha EJ, Xu M. Intracapsular partial tonsillectomy for tonsillar hypertrophy in children. Laryngoscope 2002; 112: 17–19.

    Article  Google Scholar 

  7. Wong D, Baker C. Pain in children: comparison of assessment scales. Pediatr Nurs 1988; 14: 9–17.

    CAS  PubMed  Google Scholar 

  8. Janfaza P, Nadol JB, Galla RJ, Fabian RL, Montgomery WW. Surgical anatomy of the head and neck. Philadelphia, PA: Lippincott Williams & Wilkins; 2001.

    Google Scholar 

  9. C. Arturo Solares, Jeffery A. Koempel, Keiko Hirose, Tom I. Abelson, James S. Reilly, Steven P. Cook, et al. Safety and efficacy of powered intracapsular tonsillectomy in children: a multi-center retrospective case series. Int J Pediatr Otorhinolaryngol 2005; 69:21–26.

    Article  Google Scholar 

  10. Peter J. Koltai, C. Arturo Solares, Jeffery A. Koempel, Keiko Hirose, Tom I. Abelson, Paul R. Krakovitz, et al. Intracapsular tonsillar reduction (partial tonsillectomy): reviving a historical procedure for obstructive sleep disordered breathing in children. Otolaryngol Head Neck Surg 2003; 129: 532–538.

    Article  Google Scholar 

  11. Lister M, Cunningham M, Benjamin B, Williams M, Tirrell A, Schaumberg D. Microdebrider tonsillotomy vs electrosurgical tonsillectomy: a randomized, double-blind, paired control study of postoperative pain Arch Otolaryngol Head Neck Surg. 2006; 132: 599–604.

    Article  Google Scholar 

  12. Derkay C, Darrow D, Welch C, Sinacori J. Post-tonsillectomy morbidity and quality of life in pediatric patients with obstructive tonsils and adenoid: microdebrider vs electrocautery Otolaryngol Head Neck Surg 2006; 134: 114–120.

    Article  Google Scholar 

  13. Bitar MA, Rameh C. Microdebrider-assisted partial tonsillectomy: short- and long-term outcomes. Eur Arch Otorhinolaryngol 2008; 265: 459–463.

    Article  Google Scholar 

  14. Mixon C, Weinberger P, Austin M. Comparison of microdebrider subcapsular tonsillectomy to harmonic scalpel and electrocautery tonsillectomy. Am J Otolaryngol 2007; 28: 13–17.

    Article  Google Scholar 

  15. Wilson YL, Merer DM, Moscatello AL. Comparison of three common tonsillectomy techniques: a prospective randomized. Laryngoscope 2009; 119: 162–170.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Otorhinolaryngology, Kasr El Ainy School of Medicine, Cairo University, Cairo, Egypt, 11562

    Sherif I. Gabr, Khaled A. Harhash, Mahmoud S. El Fouly, Ahmed A. Kamel MD & Mostafa M. Eldwebes

Authors
  1. Sherif I. Gabr
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Khaled A. Harhash
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Mahmoud S. El Fouly
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Ahmed A. Kamel MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Mostafa M. Eldwebes
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ahmed A. Kamel MD.

Additional information

Conflicts of interest

None declared.

Rights and permissions

This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Gabr, S.I., Harhash, K.A., El Fouly, M.S. et al. Microdebrider intracapsular tonsillotomy versus conventional extracapsular tonsillectomy. Egypt J Otolaryngol 30, 220–224 (2014). https://doi.org/10.4103/1012-5574.138476

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.4103/1012-5574.138476

Keywords