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Across these, 1996 and 4565 patients underwent intracapsular and total tonsillectomy, respectively. Studies included 8 randomized controlled trials, 1 prospective cohort study, and 8 retrospective cohort studies. Time to pain free, time on analgesia, time to normal diet, and time to normal activity were significantly shorter with intracapsular tonsillectomy by on average 4.2 (95% confidence interval [CI]\u00a01.5\u20105.9; <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.0001), 4.1 (95% CI 2.7\u20105.4; <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.0001), 3.5 (95% CI 1.7\u20105.4; <jats:italic>p<\/jats:italic>\u2009=\u2009.0002) and 2.8 (95% CI 1.6\u20104; <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.0001) days, respectively. Risk of posttonsillectomy hemorrhage was significantly lower following intracapsular tonsillectomy (relative risk [RR]\u00a00.36; 95% CI\u00a00.16\u20100.81; <jats:italic>p<\/jats:italic>\u2009=\u2009.0131); risk of posttonsillectomy hemorrhage requiring surgical management was lower but failed to reach significance (RR\u00a00.52; 95% CI\u00a00.19\u20101.39; <jats:italic>p<\/jats:italic>\u2009=\u2009.19).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Intracapsular tonsillectomy using plasma ablation has similar efficacy in managing indications for tonsil surgery to total tonsillectomy while\u00a0significantly reducing the postoperative morbidity and likelihood of posttonsillectomy hemorrhage experienced by patients, allowing them to return to their normal life faster.<\/jats:p><\/jats:sec>","DOI":"10.1002\/oto2.22","type":"journal-article","created":{"date-parts":[[2023,2,17]],"date-time":"2023-02-17T16:35:13Z","timestamp":1676651713000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Intracapsular Tonsillectomy Using Plasma Ablation Versus Total Tonsillectomy: A Systematic Literature Review and Meta\u2010Analysis"],"prefix":"10.1002","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9084-0190","authenticated-orcid":false,"given":"Matthew J.","family":"Sedgwick","sequence":"first","affiliation":[{"name":"Global Clinical and Medical Affairs Smith+Nephew  Hull UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Saunders","sequence":"additional","affiliation":[{"name":"Global Clinical and Medical Affairs Smith+Nephew  Hull UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil","family":"Bateman","sequence":"additional","affiliation":[{"name":"Paediatric Otolaryngology Department, Manchester Academic Health Science Centre, Royal Manchester Children's Hospital Manchester University Hospitals NHS Foundation Trust  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,2,17]]},"reference":[{"key":"e_1_2_9_2_1","first-page":"1","article-title":"Ambulatory surgery data from hospitals and ambulatory surgery centers: United States, 2010","volume":"102","author":"Hall MJ","year":"2017","journal-title":"Natl Health Stat Report"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.13707"},{"key":"e_1_2_9_4_1","unstructured":"NHS GIRFT. 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