{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T23:43:16Z","timestamp":1779147796449,"version":"3.51.4"},"reference-count":20,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2010,6,1]],"date-time":"2010-06-01T00:00:00Z","timestamp":1275350400000},"content-version":"vor","delay-in-days":0,"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":[[2010,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare the rates of major complications (postoperative hemorrhage requiring return to the operating room or cauterization in the emergency department and dehydration requiring intravenous fluids or readmission) in a large cohort of children undergoing adenotonsillectomy by three different techniques.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Case series with chart review, case\u2010controlled study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Regional children's hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects and Methods<\/jats:title>\n                    <jats:p>Subjects comprised patients aged 1 to 18 years undergoing adenoidectomy, tonsillectomy, or adenotonsillectomy by microdebrider, coblator, or Bovie over a 36\u2010month period. Major complications identified were compared to two case\u2010matched controls to try to identify patients at risk for major postoperative complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The overall complication rate was 80 of 4776 (1.7 \u00b1 0.4% [percent \u00b1 95% confidence interval]). Of the 3362 patients who received either an adenotonsillectomy or tonsillectomy alone, 80 had a complication (2.3 \u00b1 0.5%). Major complication rates differed among tonsil removal techniques: 34 of 1235 (2.8 \u00b1 0.9%) coblation; 40 of 1289 (3.1 \u00b1 0.9%) electrocautery; six of 824 (0.7 \u00b1 0.7%) microdebrider (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001). Postoperative hemorrhage occurred in older children (8.5 vs 5.5 years;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001), while age did not influence postsurgical dehydration (5.33 vs 5.49 years). The case\u2010control portion of the study did not find any reliable way to identify patients at risk for complications during adenotonsillectomy. Identity of the surgeon was not a confounding independent variable, nor was participation by resident surgeons.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In this \u201creal life\u201d teaching hospital surgical setting in which three different techniques of tonsillectomy are routinely performed by a variety of resident and attending surgeons, microdebrider intracapsular tonsillectomy is associated with lower rates of post\u2010tonsillectomy hemorrhage and dehydration when compared to coblation and electrocautery complete tonsillectomy technique.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.otohns.2010.02.019","type":"journal-article","created":{"date-parts":[[2010,5,20]],"date-time":"2010-05-20T08:29:25Z","timestamp":1274344165000},"page":"886-892","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":97,"title":["Analyzing factors associated with major complications after adenotonsillectomy in 4776 patients: Comparing three tonsillectomy techniques"],"prefix":"10.1002","volume":"142","author":[{"given":"Thomas Q.","family":"Gallagher","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Naval Medical Center Portsmouth VA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lyndy","family":"Wilcox","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Eastern Virginia Medical School Norfolk VA"},{"name":"Department of Pediatrics Eastern Virginia Medical School Norfolk VA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin","family":"McGuire","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Eastern Virginia Medical School Norfolk VA"},{"name":"Department of Pediatrics Eastern Virginia Medical School Norfolk VA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Craig S.","family":"Derkay","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Eastern Virginia Medical School Norfolk VA"},{"name":"Department of Pediatrics Eastern Virginia Medical School Norfolk VA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2010,6]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"CullenKA HallMJ GolosinskiyA.National Health Statistics Reports Centers for Disease Control Ambulatory Surgery in the United States 2006. Number 11 January 28 2009\u2010Revised September 4 2009. Available at:www.cdc.gov\/nchs\/data\/nhsr\/nhsr011.pdf. Accessed April 18 2009."},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198403153101102"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2008.12.013"},{"key":"e_1_2_9_5_1","doi-asserted-by":"crossref","unstructured":"BurtonMJ GlasziouPP.Tonsillectomy or adeno\u2010tonsillectomy versus non\u2010surgical treatment for chronic\/recurrent acute tonsillitis.Cochrane Database Syst Rev2009(1):CD001802.","DOI":"10.1002\/14651858.CD001802.pub2"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/00034894921010S112"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2003.60"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(98)70376-6"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.5541121407"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-59980300727-7"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1997.01900070023004"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200402000-00022"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2004.07.006"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2006.06.002"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.132.3.270"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2005.10.039"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2007.11.016"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2009.01.044"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940911801003"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2007.11.006"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2008.12.005"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.otohns.2010.02.019","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.otohns.2010.02.019","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.otohns.2010.02.019","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T14:18:12Z","timestamp":1760969892000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.otohns.2010.02.019"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,6]]},"references-count":20,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2010,6]]}},"alternative-id":["10.1016\/j.otohns.2010.02.019"],"URL":"https:\/\/doi.org\/10.1016\/j.otohns.2010.02.019","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.3410\/f.3437962.3131061","asserted-by":"object"}]},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,6]]},"assertion":[{"value":"2009-11-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2010-02-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2010-06-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}