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Fixed\u2010effect meta\u2010analysis, sensitivity analysis, and subgroup analysis were conducted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In our analysis of 32 studies with 9,430 children, the analysis revealed TT group had a similar therapeutic effect on improvement of OSA\u201018 as TE group (MD\u2009=\u20095.20, 95% CI: \u221232.67 to 43.07, <jats:italic>p<\/jats:italic>\u2009=\u20090.96). In terms of short\u2010term outcome, the days to return to normal diet for TT group were shorter than that for TE group (MD\u2009=\u2009\u22122.49, 95%CI: \u22123.57 to \u22121.28; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), less analgesics use (MD\u2009=\u2009\u22123.19, 95% CI\u2009=\u2009\u22123.44 to \u22122.93, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), and lower postoperative secondary bleeding (RR\u2009=\u20090.33; 95%CI: 0.23 to 0.47; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). But the risk of reoperation (OR\u2009=\u20098.28; 95%CI: 2.66 to 12.64; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), oSDB recurrence (OR\u2009=\u20092.16; 95%CI: 1.20\u20133.86; <jats:italic>p<\/jats:italic>\u2009=\u20090.01), and postoperative infection (OR\u2009=\u20091.82; 95%CI: 1.34 to 2.47; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) in TT group was significantly higher than that in TE group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Tonsillotomy reduces postoperative pain and bleeding, speeding up recovery for children with oSDB, and improving their quality of life. Yet, the risk of recurrent infections from residual tonsil tissue, which may require reoperation, calls for a careful evaluation of the procedure's short\u2010term gains against its long\u2010term risks.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>NA <jats:italic>Laryngoscope<\/jats:italic>, 135:529\u2013539, 2025<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.31776","type":"journal-article","created":{"date-parts":[[2024,9,19]],"date-time":"2024-09-19T07:49:44Z","timestamp":1726732184000},"page":"529-539","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Tonsillectomy Versus Tonsillotomy in Pediatric Sleep\u2010Disordered Breathing: A Systematic Review and Multi\u2010subgroup Meta\u2010analysis"],"prefix":"10.1002","volume":"135","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-3063-5891","authenticated-orcid":false,"given":"Jiahong","family":"Lao","sequence":"first","affiliation":[{"name":"E.N.T. 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