Why Is There No Statement Regarding Partial Intracapsular Tonsillectomy (Tonsillotomy) in the New Guidelines?-Reference-Cited by-同舟云学术

Why Is There No Statement Regarding Partial Intracapsular Tonsillectomy (Tonsillotomy) in the New Guidelines?

Published:2019-02 Issue:2 Volume:160 Page:213-214
ISSN:0194-5998
Container-title:Otolaryngology–Head and Neck Surgery
language:en
Short-container-title:Otolaryngol Head Neck Surg

Author:

Parikh Sanjay R.¹²,Archer Sanford³,Ishman Stacey L.⁴⁵,Mitchell Ron B.⁶

Affiliation:

1. Department of Otolaryngology–Head and Neck Surgery, University of Washington, Seattle, Washington, USA

2. Division of Pediatric Otolaryngology, Seattle Children’s Hospital, Seattle, Washington, USA

3. Department of Otolaryngology–Head and Neck Surgery, University of Kentucky, Lexington, Kentucky, USA

4. Divisions of Otolaryngology–Head and Neck Surgery and Pulmonary Medicine, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio, USA

5. Department of Otolaryngology–Head and Neck Surgery, College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA

6. Division of Pediatric Otolaryngology, Department of Otolaryngology–Head and Neck Surgery, UT Southwestern, Children’s Health Dallas, Dallas, Texas, USA

Abstract

Partial intracapsular tonsillectomy (PIT) was revisited in 2003 as an alternate surgical option to total tonsillectomy for the treatment of tonsillar hypertrophy. However, evaluation of the existing literature on PIT reveals that it is largely focused on comparing perioperative outcomes after PIT and total tonsillectomy, with few data regarding long-term outcomes. The goal of this commentary is to explain why PIT was not incorporated into the 2019 American Academy of Otolaryngology–Head and Neck Surgery Foundation clinical practice guideline for tonsillectomy, while acknowledging its use and potential advantages and disadvantages and outlining future research opportunities.

Publisher

SAGE Publications

Subject

Otorhinolaryngology,Surgery

Link

http://journals.sagepub.com/doi/pdf/10.1177/0194599818810507

Reference9 articles.

1. Clinical Practice Guideline: Tonsillectomy in Children

2. Intracapsular Tonsillar Reduction (Partial Tonsillectomy): Reviving a Historical Procedure for Obstructive Sleep Disordered Breathing in Children

3. Systematic Review of Randomized Controlled Trials Comparing Intracapsular Tonsillectomy With Total Tonsillectomy in a Pediatric Population

4. Comparative Effectiveness of Partial versus Total Tonsillectomy in Children: A Systematic Review

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