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Our objective was to determine whether an intracapsular tonsillectomy (ICTE) with a 90% removal of tonsils could be sufficient. The secondary objective was to evaluate if 10 days of sick leave is enough for adults after ICTE.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective cohort study included adults aged 16\u201365 years with moderate to severe OSA (apnoea\u2013hypopnoea index [AHI]\u2009\u2265\u200915) and tonsillar hypertrophy. All patients underwent ICTE using coblation. The main outcome was surgical success as defined by a\u2009&gt;\u200950% decrease in the overall AHI and a decrease in the overall AHI to &lt;\u200920. Surgical cure was defined by a decrease in the overall AHI to &lt;\u20095. To track recovery, participants completed the Brief Pain Inventory. Patient reported outcomes were assessed using the Insomnia Severity Index (ISI), Epworth Sleepiness Scale (ESS), and Glasgow Benefit Inventory (GBI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty patients underwent surgery, and sixteen completed the 6-month follow-up. The surgical success rate was 68.8%, and the surgical cure rate was 43.8%. Mean (\u00b1\u2009SD) AHI lowered from 37.4 (\u00b1\u200919.8) to 11.8 (\u00b1\u200916.1) events per hour (\n                      <jats:italic>p<\/jats:italic>\n                      = .003). Mean AI lowered from 13.3 (\u00b1\u200913.9) to 4.1 (\u00b1\u200911.9) events per hour (\n                      <jats:italic>p<\/jats:italic>\n                      = .002). Ten days of sick leave was enough for 81.3% of patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In adults with large tonsils and OSA, removing 90% of tonsil tissue may be effective. After intracapsular surgery, ten days may be a sufficient recovery time.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00405-026-10497-1","type":"journal-article","created":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T01:54:19Z","timestamp":1785722059000},"page":"6749-6756","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Intracapsular tonsillectomy in adults with obstructive sleep apnoea and large tonsils"],"prefix":"10.1007","volume":"283","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6582-7699","authenticated-orcid":false,"given":"Henrik M.","family":"Sj\u00f6blom","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenny","family":"Knubb","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miika","family":"Suomela","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauriina","family":"Lustig-Tammi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaakko M.","family":"Piitulainen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,3]]},"reference":[{"key":"10497_CR1","doi-asserted-by":"publisher","first-page":"1906","DOI":"10.1001\/jama.290.14.1906","volume":"290","author":"ASM Shamsuzzaman","year":"2003","unstructured":"Shamsuzzaman ASM, Gersh BJ, Somers VK (2003) Obstructive Sleep Apnea: Implications for Cardiac and Vascular Disease. 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