{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T09:07:02Z","timestamp":1787648822777,"version":"build-2736575974"},"reference-count":22,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2012,12,19]],"date-time":"2012-12-19T00:00:00Z","timestamp":1355875200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2013,5]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>Adenoidectomy and tonsillectomy (TE) is the standard treatment for obstructive sleep\u2010disordered breathing (SDB) in children with adenotonsillar hypertrophy. Tonsilloplasty (TP) is a new surgical technique that includes partial TE. The purpose of this study was to assess the short\u2010 and long\u2010term outcomes of TP compared to TE.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>A comparison study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Children with SDB and tonsillar hypertrophy underwent TP or TE. The two groups were compared regarding immediate postoperative course and long\u2010term effects.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty\u2010one children (age, 6.3 \u00b1 2.5 years) underwent TE, and 50 children (age, 5.9 \u00b1 2.1 years) had TP. The TP group had significantly less intraoperative bleeding compared to the TE group (25.6 \u00b1 8.2 vs. 38.3 \u00b1 12.3 mL, <jats:italic>P<\/jats:italic> &lt; .001). Subjects with TP were pain free earlier than children with TE (4.5 \u00b1 0.4 vs. 7.7 \u00b1 0.4 days, <jats:italic>P<\/jats:italic> &lt; .001) and returned to a normal diet sooner (3.8 \u00b1 0.2 vs. 7.1 \u00b1 0.3 days, <jats:italic>P<\/jats:italic> &lt; .001). By the 3rd to 4th postoperative night, upper airway obstruction was relieved in all participants. Six years postoperatively, 48 of 51 children in the TE group and 43 of 50 children in the TP group participated in a telephone survey. No significant differences were found between the two groups regarding the frequency of recurrent snoring (30.2% in TP vs. 25% in TE), apneas (4.7% vs. 0%), and upper airway infections per year (<jats:italic>P<\/jats:italic> &gt; .05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>TP is an alternative surgical method for treatment of SDB related to tonsillar hypertrophy with favorable postoperative course and comparable long\u2010term results.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>2c.<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.23860","type":"journal-article","created":{"date-parts":[[2012,12,19]],"date-time":"2012-12-19T14:16:14Z","timestamp":1355926574000},"page":"1294-1299","source":"Crossref","is-referenced-by-count":21,"title":["Tonsilloplasty versus tonsillectomy in children with sleep\u2010disordered breathing: Short\u2010 and long\u2010term outcomes"],"prefix":"10.1002","volume":"123","author":[{"given":"Konstantinos S.","family":"Chaidas","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery General Hospital of Volos Volos"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Athanasios G.","family":"Kaditis","sequence":"additional","affiliation":[{"name":"First Department of Pediatrics Pediatric Pulmonology Unit Sleep Disorders Laboratory, University of Athens School of Medicine and Aghia Sophia Children's Hospital Athens"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chariton E.","family":"Papadakis","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery General Hospital of Chania Chania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikolaos","family":"Papandreou","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery General Hospital of Volos Volos"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petros","family":"Koltsidopoulos","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery General Hospital of Volos Volos"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charalampos E.","family":"Skoulakis","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery University of Thessaly School of Medicine and Larissa University Hospital Larissa Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,12,19]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/00034894921010S112"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348949009900305"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.1.5011.124"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599810389949"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.160.4.16041"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.109.4.704"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0385-8146(84)80015-2"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198207000-00021"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(99)00197-4"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2007.09.007"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.129.5.533"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2004.11.002"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200402000-00022"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(99)00274-8"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.2310\/7070.2007.0030"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2004.11.010"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2008.12.012"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0025-7125(05)70088-2"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-94-011-1436-3_3"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2008.02.015"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-006-0162-3"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-010-1261-8"}],"container-title":["The 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