Comparison of functional outcomes after powered intracapsular tonsillectomy with adenoidectomy and conventional extracapsular tonsillectomy with adenoidectomy for pediatric obstructive sleep apnea

Jae Min Jeon, Jeong Rok Kim, Seung Hwan Bang, Jong Geun Lee, Jae Min Shin, Il Ho Park, Jeong Soo Woo, Sung Won Chae, Jae Jun Song

Research output: Contribution to journalArticle

Abstract

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 quality of life measurement was performed using Korean Obstructive Sleep Apnea Survey (KOSA-18) score. Postoperative bleeding was assessed as number of revisit or readmission. Postoperative pain was evaluated by visual analog scale (VAS) at postoperative day 1, 3, and 7. Results PITA and ECTA significantly reduced KOSA-18 scores postoperatively (p<0.01, p<0.01, respectively) and were equally effective in pediatric OSA treatment. Postoperative bleeding was lower in the PITA group, but there was no statistical difference due to small number of cases. VAS score for postoperative pain was significantly lower in the PITA group at day 1, 3, and 7 (p=0.03, p<0.01, and p<0.01, respectively). Conclusion PITA is effective in pediatric OSA treatment with less morbidity, and less complications.

Original languageEnglish
Pages (from-to)167-171
Number of pages5
JournalKorean Journal of Otorhinolaryngology-Head and Neck Surgery
Volume63
Issue number4
DOIs
Publication statusPublished - 2020 Apr 1

Keywords

  • Obstructive
  • Operative
  • Pediatrics
  • Postoperative complications
  • Sleep apnea
  • Surgical procedures
  • Tonsillectomy

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery

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