Complications of Microdebrider-Assisted Powered Intracapsular Tonsillectomy and Adenoidectomy

Alexander Sorin, John P. Bent, Max M. April, Robert F. Ward

Research output: Contribution to journalArticle

74 Citations (Scopus)

Abstract

Objectives: To study complications of powered intracapsular tonsillectomy and adenoidectomy (PITA) in pediatric patients with obstructive sleep apnea (OSA). Study Design: Retrospective chart review and long-term follow-up in office or by telephone interview. Methods: We studied 278 patients who underwent PITA between September 2000 and October 2002. Outcome measures were postoperative bleeding, velopharyngeal insufficiency, need for hospital readmission, tonsil regrowth, and return of snoring or sleep apnea symptoms. Results: All 278 children treated by PITA had immediate resolution of symptoms of OSA. Complications were noted in 11 patients (3.9%). Nine patients (3.2%) experienced tonsil regrowth with snoring, two of whom evolved to a return of OSA that was definitively managed by means of a complete tonsillectomy. Two patients (0.7%) had self-limited bleeding. None of the patients developed persistent velopharyngeal insufficiency or required hospital readmission. Conclusions: Microdebrider-assisted PITA is a safe and effective alternative for children otherwise treated with traditional tonsillectomy for symptoms of OSA due to adenotonsillar hypertrophy. This series suggests a 3.9% overall rate of complications, with the most common noted as tonsillar regrowth without recurrence of OSA. Prospective trials with longer follow-up may define higher complication rates.

Original languageEnglish (US)
Pages (from-to)297-300
Number of pages4
JournalLaryngoscope
Volume114
Issue number2
DOIs
StatePublished - Feb 2004
Externally publishedYes

Fingerprint

Adenoidectomy
Tonsillectomy
Obstructive Sleep Apnea
Velopharyngeal Insufficiency
Patient Readmission
Snoring
Palatine Tonsil
Hemorrhage
Sleep Apnea Syndromes
Hypertrophy
Retrospective Studies
Outcome Assessment (Health Care)
Interviews
Pediatrics
Recurrence

Keywords

  • Complications of partial tonsillectomy
  • Intracapsular tonsillectomy
  • Microdebrider
  • Pediatric obstructive sleep apnea
  • Subtotal tonsillectomy
  • Tonsillotomy

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Complications of Microdebrider-Assisted Powered Intracapsular Tonsillectomy and Adenoidectomy. / Sorin, Alexander; Bent, John P.; April, Max M.; Ward, Robert F.

In: Laryngoscope, Vol. 114, No. 2, 02.2004, p. 297-300.

Research output: Contribution to journalArticle

Sorin, Alexander ; Bent, John P. ; April, Max M. ; Ward, Robert F. / Complications of Microdebrider-Assisted Powered Intracapsular Tonsillectomy and Adenoidectomy. In: Laryngoscope. 2004 ; Vol. 114, No. 2. pp. 297-300.
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abstract = "Objectives: To study complications of powered intracapsular tonsillectomy and adenoidectomy (PITA) in pediatric patients with obstructive sleep apnea (OSA). Study Design: Retrospective chart review and long-term follow-up in office or by telephone interview. Methods: We studied 278 patients who underwent PITA between September 2000 and October 2002. Outcome measures were postoperative bleeding, velopharyngeal insufficiency, need for hospital readmission, tonsil regrowth, and return of snoring or sleep apnea symptoms. Results: All 278 children treated by PITA had immediate resolution of symptoms of OSA. Complications were noted in 11 patients (3.9{\%}). Nine patients (3.2{\%}) experienced tonsil regrowth with snoring, two of whom evolved to a return of OSA that was definitively managed by means of a complete tonsillectomy. Two patients (0.7{\%}) had self-limited bleeding. None of the patients developed persistent velopharyngeal insufficiency or required hospital readmission. Conclusions: Microdebrider-assisted PITA is a safe and effective alternative for children otherwise treated with traditional tonsillectomy for symptoms of OSA due to adenotonsillar hypertrophy. This series suggests a 3.9{\%} overall rate of complications, with the most common noted as tonsillar regrowth without recurrence of OSA. Prospective trials with longer follow-up may define higher complication rates.",
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