{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T06:13:52Z","timestamp":1773814432427,"version":"3.50.1"},"reference-count":11,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Coblation technology is gaining wide acceptance and use as a contemporary surgical technique for tonsil surgeries due to less post\u2010operative morbidity compared to the more traditional total tonsillectomy. Previous articles examined the role of post\u2010operative antibiotics for traditional total tonsillectomy; however, this is the first study which explores the role of post\u2010operative prophylactic antibiotic treatment among children undergoing coblation intracapsular tonsillectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective randomised study included 100 children (aged 1\u201316) who were divided into two subgroups: with and without post\u2010operative antibiotics. Post\u2010operative follow\u2010up of patients included assessment for 7\u2009days of pain levels, fever, return to diet, bleeding and halitosis. In addition, the children's caregivers completed the Parents'\u2010Postoperative\u2010Pain\u2010Measure (PPP\u2010M) questionnaire on Days 1 and 7.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The (+) antibiotic subgroup had substantially less halitosis on Days 2\u20136 after surgery. Prophylactic antibiotic treatment did not yield any differences between the two subgroups in the incidence of fever, return to regular diet or drinking, pain as measured by the Wong Baker Faces Pain scale, or pain as reported by the parents on the PPP\u2010M questionnaire.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This prospective study highlights that routine prophylactic post\u2010operative antibiotic use has a limited clinical benefit in paediatric intracapsular tonsillectomy. Improvement in halitosis was significant with antibiotic treatment; however, various other clinical parameters did not differ between the two subgroups, so the routine use of post\u2010operative antibiotics in the above setting is discouraged.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/coa.14296","type":"journal-article","created":{"date-parts":[[2025,3,11]],"date-time":"2025-03-11T22:12:21Z","timestamp":1741731141000},"page":"681-689","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["No Difference in Pain or Febrile Episodes With the Use of Post\u2010Operative Antibiotics in Paediatric Coblation Intracapsular Tonsillectomy for Sleep\u2010Disordered Breathing or Recurrent Tonsillitis: A Prospective Randomised Trial"],"prefix":"10.1111","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4513-3766","authenticated-orcid":false,"given":"Netanel","family":"Eisenbach","sequence":"first","affiliation":[{"name":"Azrieli Faculty of Medicine Bar\u2010Ilan University  Safed Israel"},{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Galilee Medical Center  Nahariya Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Igor","family":"Yakubovich","sequence":"additional","affiliation":[{"name":"Azrieli Faculty of Medicine Bar\u2010Ilan University  Safed Israel"},{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Galilee Medical Center  Nahariya Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmad","family":"Bader","sequence":"additional","affiliation":[{"name":"Azrieli Faculty of Medicine Bar\u2010Ilan University  Safed Israel"},{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Galilee Medical Center  Nahariya Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ephraim","family":"Rinot","sequence":"additional","affiliation":[{"name":"Azrieli Faculty of Medicine Bar\u2010Ilan University  Safed Israel"},{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Galilee Medical Center  Nahariya Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abeer Dabbah","family":"Miari","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Galilee Medical Center  Nahariya Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samah","family":"Khalil","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Galilee Medical Center  Nahariya Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rania","family":"Faris","sequence":"additional","affiliation":[{"name":"Statistical Analysis Division Galilee Medical Center  Nahariya Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eyal","family":"Sela","sequence":"additional","affiliation":[{"name":"Azrieli Faculty of Medicine Bar\u2010Ilan University  Safed Israel"},{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Galilee Medical Center  Nahariya Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7680-1435","authenticated-orcid":false,"given":"Maayan","family":"Gruber","sequence":"additional","affiliation":[{"name":"Azrieli Faculty of Medicine Bar\u2010Ilan University  Safed Israel"},{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Galilee Medical Center  Nahariya 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