{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T05:47:08Z","timestamp":1793598428938,"version":"4.5.0"},"reference-count":50,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,11,8]],"date-time":"2023-11-08T00:00:00Z","timestamp":1699401600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Following tonsillectomy, postoperative pain and hemorrhage from the tonsillar bed are causes of significant morbidity. Intracapsular tonsillectomy with Coblation is suggested to minimize such morbidity while remaining efficacious in long\u2010term outcomes.<\/jats:p>\n                    <jats:p>This systematic review and meta\u2010analysis assessed short\u2010term morbidity and long\u2010term outcomes from intracapsular tonsillectomy with Coblation, focusing primarily on posttonsillectomy hemorrhage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>Medline, Embase, and the Cochrane Library.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Review Methods<\/jats:title>\n                    <jats:p>Guided by PRISMA guidelines, studies on intracapsular tonsillectomy with Coblation published between December 2002 and July 2022 evaluating frequency of posttonsillectomy hemorrhage were screened. Studies without primary data were excluded. Meta\u2010analysis was conducted using the random\u2010effect model. The primary outcome was the proportion of patients who experienced posttonsillectomy hemorrhage. The secondary outcomes were posttonsillectomy pain, the proportion requiring revision tonsillectomy, and severity of sleep\u2010disordered breathing measured by polysomnography outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>From 14 studies there were 9821 patients. The proportion of total posttonsillectomy hemorrhage was 1.0% (95% confidence interval [CI] 0.5%\u20101.6%, n\u2009=\u20099821). The proportion experiencing primary hemorrhage, secondary hemorrhage, and those requiring further tonsil surgery were 0.1% (95% CI 0.0%\u20100.1%; study n\u2009=\u20097), 0.8% (95% CI\u00a00.2%\u20101.4%; study n\u2009=\u20097), and 1.4% (95% CI 0.6%\u20102.2%; study n\u2009=\u20096), respectively. Mean reduction in apnea\u2010hypopnea index was \u201316.0 events per hour (95% CI \u22128.8 to \u221223.3, study n\u2009=\u20093) and mean increase in oxygen nadir was 5.9% (95% CI\u00a02.6%\u20109.1%, study n\u2009=\u20093).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Intracapsular tonsillectomy with Coblation has been demonstrated to have a low rate of posttonsillectomy hemorrhage. Data regarding long\u2010term tonsil regrowth and need for reoperation were encouraging of the efficacy of this technique.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ohn.573","type":"journal-article","created":{"date-parts":[[2023,11,8]],"date-time":"2023-11-08T07:02:34Z","timestamp":1699426954000},"page":"347-358","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Postoperative Outcomes of Intracapsular Tonsillectomy With Coblation: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1002","volume":"170","author":[{"given":"Huiying","family":"Lin","sequence":"first","affiliation":[{"name":"Waikato Clinical Campus University of Auckland Hamilton New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Behzad","family":"Hajarizadeh","sequence":"additional","affiliation":[{"name":"The Kirby Institute University of New South Wales (UNSW Sydney)  Sydney New South Wales 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