{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T18:05:59Z","timestamp":1793383559417,"version":"4.5.0"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,5,17]],"date-time":"2016-05-17T00:00:00Z","timestamp":1463443200000},"content-version":"vor","delay-in-days":3789,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2006,1]]},"abstract":"<jats:sec><jats:title>OBJECTIVES<\/jats:title><jats:p>To prospectively compare outcomes in children over age 2 with obstructive adenotonsillar hypertrophy when tonsillectomy is performed utilizing an intracapsular microdebrider technique versus low\u2010wattage electrocautery technique.<\/jats:p><\/jats:sec><jats:sec><jats:title>STUDY DESIGN AND SETTING<\/jats:title><jats:p>Prospective, single\u2010blind, randomized controlled trial at a tertiary care children's hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Among the 300 children, those treated with the microdebrider resumed normal activity faster, with a median recovery of 2.5\u00a0days, and stopped taking pain medication sooner, with the median time to the last dose of 4\u00a0days. The microdebrider group were 3 times more likely to no longer need pain medications at 3\u00a0days postoperatively and 2.5 times less likely to be still needing pain medication 7\u00a0days postoperatively. They were twice as likely to be at a normal activity level by 3\u00a0days postoperatively and were less likely to still not have attained normal activity and normal diet after 7\u00a0days. There was no difference between groups in median days to return to normal diet (3.0 to 3.5\u00a0days). At 1\u2010month follow\u2010up, children in the microdebrider group were 5 times more likely to have residual tonsil tissue.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Intracapsular tonsillectomy in children with obstructive adenotonsillar hypertrophy results in improved peri\u2010operative outcomes. Residual tonsil tissue is more common with use of the microdebrider; however, the incidence of future obstruction or infection is unknown.<\/jats:p><jats:p>EBM rating: A\u20101b<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.otohns.2005.10.039","type":"journal-article","created":{"date-parts":[[2006,1,6]],"date-time":"2006-01-06T07:11:08Z","timestamp":1136531468000},"page":"114-120","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":101,"title":["Post\u2010Tonsillectomy Morbidity and Quality of Life in Pediatric Patients with Obstructive Tonsils and Adenoid: Microdebrider vs Electrocautery"],"prefix":"10.1002","volume":"134","author":[{"given":"Craig S.","family":"Derkay","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2014Head Neck Surgery Eastern Virginia Medical School Norfolk Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David H.","family":"Darrow","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head Neck Surgery Eastern Virginia Medical School Norfolk Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camille","family":"Welch","sequence":"additional","affiliation":[{"name":"Center for Pediatric Research Norfolk Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John T.","family":"Sinacori","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head Neck Surgery Eastern Virginia Medical School Norfolk Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,5,17]]},"reference":[{"key":"e_1_2_5_2_1","article-title":"Detailed diagnoses and procedures, national hospital discharge survey 1987. 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