Microdebrider Intracapsular Tonsillectomy: A Narrative Review

Abstract

Introduction: Microdebrider intracapsular tonsillectomy is a relatively recent surgical procedure used to treat various tonsil and adenoid disorders. Unlike traditional tonsillectomies, which involve the complete removal of the tonsils, this technique uses high-speed rotation to remove only the diseased tissue, allowing for more precise removal while preserving the surrounding healthy tissue. This procedure has gained popularity in recent years due to its ability to reduce postoperative pain and allow for a quicker return to regular eating habits, especially in children with tonsillitis and sleep apnea. In this review, we aim to explore the efficacy, safety, and limitations of microdebrider intracapsular surgery in the management of otolaryngologic conditions.Methods: A preliminary search was conducted on several databases to identify relevant articles on tonsillectomy. The study focused on keywords such as "microdebrider", "Coblation tonsillectomy", "intracapsular tonsillectomy", “conventional tonsillectomy” and "minimally invasive tonsillectomy" and included patients with recurrent and/or chronic tonsillitis and patients with tonsillar hypertrophy with symptoms of obstructive sleep troubles such as persistent snoring. Conclusion: Microdebrider Intracapsular tonsillectomy is a surgical procedure used for various conditions related to the tonsils, with less tissue removed than traditional tonsillectomy. It causes less pain, has a shorter recovery time, and has fewer complications. However, there is a small risk of tonsil regrowth and the need for an additional procedure. The decision on which method to use depends on the patient's medical history and the surgeon's recommendation, and it is essential to understand potential complications and seek medical attention promptly if needed.