{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T07:25:50Z","timestamp":1777706750353,"version":"3.51.4"},"reference-count":21,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T00:00:00Z","timestamp":1772496000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T00:00:00Z","timestamp":1772496000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100009123","name":"Norges Teknisk-Naturvitenskapelige Universitet","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009123","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      This study compares selection criteria, 30\u2010day complications, and 6\u2010month outcomes between intracapsular tonsillotomy (TT) using carbon dioxide (CO\n                      <jats:sub>2<\/jats:sub>\n                      ) laser and traditional cold steel tonsillectomy (TE).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>A retrospective, observational study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Laser TT was conducted at 6 different Norwegian hospitals or private clinics and 41 Norwegian hospitals or private clinics performed traditional cold steel TE.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We analyzed data from the Norwegian Tonsil Surgery Register (NTSR), including all adult patients (\u226516 years) undergoing tonsil surgery from January 1, 2017, to June 30, 2023. No exclusion criteria were applied. The data are based on 3 questionnaires: one completed by surgeons on the day of surgery, and one completed by patients 30 days and 6 months after surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Laser TT was associated with significantly lower postoperative bleeding and fewer pain\u2010related healthcare contacts. However, cold steel TE had higher symptom resolution at 6 months (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001). Men had a higher risk of bleeding (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001), while women more often sought help for pain (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001). Patients with recurrent or chronic tonsillitis had greater risks for both bleeding and pain\u2010related contacts. Women were more likely to report persistent symptoms at 6 months (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Laser TT under local anesthesia is associated with fewer short\u2010term complications but a higher rate of persistent symptoms compared to traditional cold steel tonsillectomy (TE). In this study, cold steel TE demonstrated significantly better long\u2010term outcomes. Careful patient selection for laser TT is essential.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ohn.70188","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T20:28:19Z","timestamp":1773001699000},"page":"1236-1242","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Comparison of Outcomes in Adult Patients After Intracapsular Laser Tonsillotomy and Cold Steel Tonsillectomy"],"prefix":"10.1002","volume":"174","author":[{"given":"Gry H. E. S.","family":"Skaaraas","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Sykehuset \u00d8stfold Kalnes Gr\u00e5lum Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stein H. G.","family":"Nordahl","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine University of Bergen Bergen Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yngve M.","family":"Jacobsen","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery St Olav's University Hospital Trondheim Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siri","family":"Wennberg","sequence":"additional","affiliation":[{"name":"Department of Medical Quality Registries St. Olav's University Hospital Trondheim Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin A. B.","family":"Blindheimsvik","sequence":"additional","affiliation":[{"name":"Department of Medical Quality Registries St. Olav's University Hospital Trondheim Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4857-7648","authenticated-orcid":false,"given":"Vegard","family":"Bugten","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery St Olav's University Hospital Trondheim Norway"},{"name":"Department of Medical Quality Registries St. Olav's University Hospital Trondheim Norway"},{"name":"Department of Neuromedicine and Movement Sciences Faculty of Medicine and Health, Sciences, Norwegian University of Science and Technology (NTNU) Trondheim Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,3]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.28435"},{"key":"e_1_2_9_3_1","unstructured":"WennbergS AmundsenMF NilsenAH.Norsk Kvalitetsregister \u00d8re\u2010Nese\u2010Hals\u2014Tonsilleregisteret \u00c5rsrapport for 2023;2024."},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.48655"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.132.6.599"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ca.20562"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.34172\/jlms.2022.51"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016489.2017.1412500"},{"key":"e_1_2_9_9_1","unstructured":"Tonsilleregisteret\u2014St. Olavs hospital HF.https:\/\/www.stolav.no\/norsk-tonsilleregister\/. Accessed May 13 2025."},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12874-018-0651-2"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-023-08306-0"},{"issue":"5","key":"e_1_2_9_12_1","first-page":"1","article-title":"Seinbl\u00f8dning etter tonsilleoperasjon","volume":"141","author":"Zahl SM","year":"2021","journal-title":"Tidsskrift for Den norske legeforening"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016489.2016.1183040"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-012-1990-y"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599812439017"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-019-05532-3"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21242"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0036-1593835"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2016.03.005"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/mlg.0b013e318030ca69"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcl.2021.12.008"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2013.03.006"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ohn.70188","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ohn.70188","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ohn.70188","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T09:47:45Z","timestamp":1777456065000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1002\/ohn.70188"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,3]]},"references-count":21,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1002\/ohn.70188"],"URL":"https:\/\/doi.org\/10.1002\/ohn.70188","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,3]]},"assertion":[{"value":"2025-06-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}