{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T13:03:01Z","timestamp":1790686981541,"version":"4.1.0"},"reference-count":17,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Intracapsular tonsillectomy or \u201ctonsillotomy\u201d is an increasingly popular alternative to extracapsular tonsillectomy due to decreased bleeding risk and pain. Coblation and microdebrider are most frequently used, but studies comparing them are limited. We aimed to compare efficiency, postoperative bleeding, and need for revision surgery between these techniques.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Retrospective case series.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Quaternary children's hospital between 2018 and 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study included pediatric patients undergoing tonsillotomy with adenoidectomy using the microdebrider (13 surgeons) or coblation (2 surgeons). Logistic regression models were used to identify independent factors associated with postoperative bleeding and revision surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 1734 tonsillotomy with adenoidectomy procedures were included (coblation\u2009=\u2009385; microdebrider\u2009=\u20091349). The mean (SD) age was 4.95 (2.2) years and 948 (54.7%) were male. Median surgical time was significantly less (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001) with coblation (22\u2009minutes) compared to microdebrider (24\u2009minutes). There was no significant difference in the proportion of patients experiencing postoperative bleeding (OR 1.1, 95% CI [0.35, 3.47]) between coblation (1%) and the microdebrider (0.9%). There was no significant difference in the proportion of patients undergoing revision (OR 0.85, 95% CI [0.23, 3.15]) between coblation (0.5%) and the microdebrider (1%). Younger age was associated with need for revision surgery (OR 0.59, 95% CI [0.41, 0.85]).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Coblation was more time efficient than microdebrider for tonsillotomy without a significant difference in postoperative bleeding or revision surgery. Younger age was noted to be a risk factor for revision tonsillectomy. Future directions to study include relative cost efficiency and differences in postoperative pain.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ohn.70476","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T12:41:51Z","timestamp":1790685711000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Coblation Versus Microdebrider in Pediatric Intracapsular Tonsillotomy: A Comparison of Efficiency, Bleeding, and Revision Surgery"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-3155-7492","authenticated-orcid":false,"given":"Alexa J.","family":"Kacin","sequence":"first","affiliation":[{"name":"Division of Otolaryngology\u2013Head and Neck Surgery Beth Israel Deaconess Medical Center Boston Massachusetts USA"},{"name":"Department of Otolaryngology Harvard Medical School Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-5049-2540","authenticated-orcid":false,"given":"Alice","family":"Yun","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology and Communication Enhancement Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hae\u2010Young","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Harvard Medical School Boston Massachusetts USA"},{"name":"Department of Otolaryngology and Communication Enhancement Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Greg","family":"Licameli","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Harvard Medical School Boston Massachusetts USA"},{"name":"Department of Otolaryngology and Communication Enhancement Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jakob","family":"Pugi","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Harvard Medical School Boston Massachusetts USA"},{"name":"Department of Otolaryngology and Communication Enhancement Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenna","family":"Dargie","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology and Communication Enhancement Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aiden","family":"Eliot Shearer","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Harvard Medical School Boston Massachusetts USA"},{"name":"Department of Otolaryngology and Communication Enhancement Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9656-5855","authenticated-orcid":false,"given":"Jacob R.","family":"Brodsky","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Harvard Medical School Boston Massachusetts USA"},{"name":"Department of Otolaryngology and Communication Enhancement Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,29]]},"reference":[{"issue":"2","key":"e_1_2_9_2_1","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1001\/jamaoto.2015.2935","article-title":"Patterns of hospital use and regionalization of inpatient pediatric adenotonsillectomy","volume":"142","author":"Shay S","year":"2016","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"issue":"3","key":"e_1_2_9_3_1","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1177\/0194599816683915","article-title":"Postoperative bleeding and associated utilization following tonsillectomy in children: a systematic review and meta\u2010analysis","volume":"156","author":"Francis DO","year":"2017","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"1","key":"e_1_2_9_4_1","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1002\/ca.20562","article-title":"Diameter of vessels across the tonsillar capsule as an anatomical consideration for tonsillectomy","volume":"21","author":"Lee KD","year":"2008","journal-title":"Clin Anat"},{"issue":"2","key":"e_1_2_9_5_1","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1177\/0194599817700374","article-title":"Can intracapsular tonsillectomy be an alternative to classical tonsillectomy? A meta\u2010analysis","volume":"157","author":"Kim JS","year":"2017","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"6","key":"e_1_2_9_6_1","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1177\/0194599812439017","article-title":"Systematic review of complications of tonsillotomy versus tonsillectomy","volume":"146","author":"Acevedo JL","year":"2012","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"1","key":"e_1_2_9_7_1","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1002\/lary.20024","article-title":"Comparison of three common tonsillectomy techniques: a prospective randomized, double\u2010blinded clinical study","volume":"119","author":"Wilson YL","year":"2009","journal-title":"Laryngoscope"},{"issue":"6","key":"e_1_2_9_8_1","doi-asserted-by":"crossref","first-page":"1184","DOI":"10.1111\/coa.13790","article-title":"Coblation intracapsular tonsillectomy in children: A prospective study of 1257 consecutive cases with long\u2010term follow\u2010up","volume":"46","author":"Amin N","year":"2021","journal-title":"Clinical Otolaryngology"},{"issue":"2","key":"e_1_2_9_9_1","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1002\/ohn.573","article-title":"Postoperative outcomes of intracapsular tonsillectomy with coblation: a systematic review and meta\u2010analysis","volume":"170","author":"Lin H","year":"2024","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"6","key":"e_1_2_9_10_1","doi-asserted-by":"crossref","first-page":"1211","DOI":"10.1111\/coa.12849","article-title":"Coblation\u00aeintracapsular tonsillectomy (tonsillotomy) in children: a prospective study of 500 consecutive cases with long\u2010term follow\u2010up","volume":"42","author":"Hoey AW","year":"2017","journal-title":"Clin Otolaryngol"},{"key":"e_1_2_9_11_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijporl.2020.109970","article-title":"Pediatric tonsillectomy: a short\u2010term and long\u2010term comparison of intracapsular versus extracapsular techniques","volume":"133","author":"Soaper AL","year":"2020","journal-title":"Int J Pediatr Otorhinolaryngol"},{"issue":"4","key":"e_1_2_9_12_1","doi-asserted-by":"crossref","first-page":"772","DOI":"10.1177\/01945998211034454","article-title":"Predictive pediatric characteristics for revision tonsillectomy after intracapsular tonsillectomy","volume":"166","author":"Sagheer SH","year":"2022","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"2","key":"e_1_2_9_13_1","first-page":"S1","article-title":"Current status and future trends: pediatric intracapsular tonsillectomy in the United States","volume":"131","author":"Huoh KC","year":"2021","journal-title":"Laryngoscope"},{"issue":"2","key":"e_1_2_9_14_1","doi-asserted-by":"crossref","DOI":"10.1056\/NEJMvcm0706756","article-title":"Tympanocentesis in children with acute otitis media","volume":"364","author":"Shaikh N","year":"2011","journal-title":"N Engl J 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