2020
DOI: 10.1016/j.ijporl.2020.110113
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Coblation® intracapsular tonsillectomy in children with recurrent tonsillitis: Initial experience

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Cited by 13 publications
(35 citation statements)
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“…For obstructive indications, evidence exists that intracapsular techniques are not inferior in terms of resolution of obstruction and quality of life 6 . For recurrent acute tonsillitis there is less evidence 15 …”
Section: Discussionmentioning
confidence: 99%
“…For obstructive indications, evidence exists that intracapsular techniques are not inferior in terms of resolution of obstruction and quality of life 6 . For recurrent acute tonsillitis there is less evidence 15 …”
Section: Discussionmentioning
confidence: 99%
“…A recent publication evaluating whether intracapsular tonsillectomy could also be considered for recurrent infection in addition to sleep-disordered breathing demonstrated that Coblation TM intracapsular tonsillectomy was a safe and effective technique for both indications in the paediatric population, in addition to lowered mean overall T14 questionnaire and infective scores over a 13-month post-operative follow-up period. 28 In their prospective study of 500 paediatric patients, Hoey and Foden also reported symptomatic improvements with intracapsular tonsillectomy for both obstructive and infective domains that were equivocal to figures published for extracapsular tonsillectomy. 11
Post-operative haemorrhage is a significant complication of traditional extracapsular tonsillectomy Intracapsular tonsillectomy has recently been revisited in an attempt to reduce complications This study compared post-operative haemorrhage rate between extracapsular and intracapsular tonsillectomy procedures A significant reduction in post-operative haemorrhage rate was observed when changing from extracapsular to intracapsular tonsillectomy This study has demonstrated Coblation TM intracapsular tonsillectomy to be a safe and effective surgery for all ages and indications
…”
Section: Discussionmentioning
confidence: 95%
“…A recent publication evaluating whether intracapsular tonsillectomy could also be considered for recurrent infection in addition to sleep-disordered breathing demonstrated that Coblation TM intracapsular tonsillectomy was a safe and effective technique for both indications in the paediatric population, in addition to lowered mean overall T14 questionnaire and infective scores over a 13-month post-operative follow-up period. 28 In their prospective study of 500 paediatric patients, Hoey and Foden also reported symptomatic improvements with intracapsular tonsillectomy for both obstructive and infective domains that were equivocal to figures published for extracapsular tonsillectomy. With regards to adults, a prospective randomised, controlled trial found extracapsular tonsillectomy and intracapsular tonsillectomy to be equally effective in reducing disease symptoms amongst patients with recurrent or chronic tonsillitis.…”
Section: Indicationsmentioning
confidence: 95%
“…Alguns autores consideram a tonsilotomia como TI, no entanto, há uma diferença: a TI se restringe a remoção até a cápsula, ao contrário da tonsilotomia que pode envolver uma quantidade mais variável de remoção do tecido. Já a tonsilectomia extracapsular remove completamente a tonsila palatina, deixando a musculatura faríngea nua e exposta (VARADHARAJAN K, et al, 2020;PYNNONEN M, et al, 2017).…”
Section: Técnicas Cirúrgicasunclassified
“…A coblação é uma eletrocirurgia de alta frequência, e vem aumentando seu destaque junto com a tonsilectomia intracapsular. Essa técnica tem vantagens, pois disseca o tecido em baixas temperaturas (40ºC a 70ºC em comparação com > 100ºC em eletrocirurgia), preservando a hemostasia (PYNNONEN M, et al, 2017;VARADHARAJAN K, et al, 2020).…”
Section: Técnicas Cirúrgicasunclassified