{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T05:44:31Z","timestamp":1792129471835,"version":"4.4.0"},"reference-count":29,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:00:00Z","timestamp":1792022400000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"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":["OTO Open"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate whether the use of an educational video explaining the differences between intracapsular and extracapsular tonsillectomy, as well as their respective risks and benefits, influences parental decision\u2010making in a pediatric otolaryngology clinic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Flyers with a quick response (QR) code linking to a video that explained intracapsular versus extracapsular tonsillectomy techniques and associated complications were posted in exam rooms of a pediatric otolaryngology clinic in July 2024. Parents were encouraged to view the video. Data were collected for tonsillectomies performed between May 2024 and January 2025, including clinic visit date, patient age and gender, parent at the visit, indication for tonsillectomy, and procedure chosen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 214 patients, 133 (62%) had clinic visits before flyers were posted and 81 (38%) after. Before the flyers, only 24 (18%) chose intracapsular tonsillectomy, compared to 34 (42%) afterward (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001). Obstructive sleep apnea (OSA) or sleep disordered breathing (SDB) were the most common surgical indications (N\u2009=\u2009200, 94%). Patient age and gender, parent at visit, and surgical indication were not significantly associated with the procedure chosen.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>These findings suggest educational interventions can influence parental preference for tonsillectomy type. Providing accessible, comprehensible information may support more informed decision\u2010making, potentially improving surgical outcomes and parent satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Practice<\/jats:title>\n                    <jats:p>Integrating concise educational tools into clinic visits offers a practical way to enhance communication and engage families in shared surgical decision\u2010making. These interventions may also standardize information delivery and reduce variability in how options are presented across providers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/oto2.70306","type":"journal-article","created":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T04:52:31Z","timestamp":1792126351000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of an Informational Video on Parental Choice of Tonsillectomy Technique"],"prefix":"10.1002","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-6478-1539","authenticated-orcid":false,"given":"Amanda G.","family":"Baanante","sequence":"first","affiliation":[{"name":"Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo Buffalo New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-9095-2142","authenticated-orcid":false,"given":"Erin M.","family":"Gawel","sequence":"additional","affiliation":[{"name":"Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo Buffalo New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3771-6662","authenticated-orcid":false,"given":"Gaayathri","family":"Varavenkataraman","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo Buffalo New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6989-5170","authenticated-orcid":false,"given":"Annabella M.","family":"Nilon","sequence":"additional","affiliation":[{"name":"Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo Buffalo New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7406-4467","authenticated-orcid":false,"given":"Michele M.","family":"Carr","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo Buffalo New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,15]]},"reference":[{"issue":"2","key":"e_1_2_8_2_1","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1016\/j.pcl.2021.12.008","article-title":"Tonsillectomy and adenoidectomy\u2014pediatric clinics of North America","volume":"69","author":"Nguyen BK","year":"2022","journal-title":"Pediatr Clin North Am"},{"issue":"2","key":"e_1_2_8_3_1","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1016\/j.ijporl.2010.11.019","article-title":"Trends in the indications for pediatric tonsillectomy or adenotonsillectomy","volume":"75","author":"Parker NP","year":"2011","journal-title":"Int J Pediatr Otorhinolaryngol"},{"issue":"12","key":"e_1_2_8_4_1","doi-asserted-by":"crossref","first-page":"1155","DOI":"10.1001\/jamapediatrics.2015.2016","article-title":"Toward adenotonsillectomy in children: a review for the general pediatrician","volume":"169","author":"Ingram DG","year":"2015","journal-title":"JAMA Pediatr"},{"issue":"5","key":"e_1_2_8_5_1","doi-asserted-by":"crossref","first-page":"532","DOI":"10.1016\/S0194-59980300727-7","article-title":"Intracapsular tonsillar reduction (partial tonsillectomy): reviving a historical procedure for obstructive sleep disordered breathing in children","volume":"129","author":"Koltai PJ","year":"2003","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"8","key":"e_1_2_8_6_1","doi-asserted-by":"crossref","first-page":"720","DOI":"10.1017\/S0022215121002565","article-title":"Intracapsular tonsillectomy versus extracapsular tonsillectomy: a safety comparison","volume":"136","author":"Naidoo J","year":"2022","journal-title":"J Laryngol Otol"},{"issue":"2","key":"e_1_2_8_7_1","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1016\/j.emc.2017.12.009","article-title":"Postoperative tonsillectomy hemorrhage","volume":"36","author":"Wall JJ","year":"2018","journal-title":"Emerg Med Clin North Am"},{"issue":"2","key":"e_1_2_8_8_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":"2","key":"e_1_2_8_9_1","article-title":"The effect of glossopharyngeal nerve block on post\u2010tonsillectomy pain of children; 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