{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T04:38:57Z","timestamp":1775450337091,"version":"3.50.1"},"reference-count":14,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T00:00:00Z","timestamp":1767052800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T00:00:00Z","timestamp":1767052800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>There are limited data on the incidence of postoperative fever in children undergoing tonsillectomy and whether the surgical technique has an influence on it. This study aimed to examine the association between surgical technique\u2014cold adenotonsillectomy versus powered intracapsular tonsillectomy and adenoidectomy(PITA)\u2014and the incidence of postoperative fever in children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective cohort study conducted between June 1, 2023, and November 30, 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Tertiary referral center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Children who underwent tonsillectomy with or without adenoidectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>The primary outcome was the incidence of high postoperative fever (&gt;\u200937.9\u00b0C\/100.2\u00b0F) within 1\u2010week postoperatively. Secondary outcomes included haemorrhage rates, pain levels, days to normal diet, halitosis, referral to treating physician, and readmissions within 1\u2010week postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 82 children (46[56%] males, mean age:5.1\u2009years interquartile range: [3\u20135]), 40(48.8%) underwent cold adenotonsillectomy, while the other 42(51.2%) underwent PITA (22 with coblation and 20 with microdebrider). One\u2010week postoperative fever rate was 24.4%. Compared to cold adenotonsillectomy, PITA was associated with higher rates of fever 1\u2010week postoperatively (odds ratio: 4.81, 95% confidence interval:1.29\u201322.02) and referrals to treating physician (15\/42[35.7%] vs. 6\/40[15%],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.023). However, PITA showed lower pain levels (mean 1\u2010week daily visual analogue scale: 3.4\u2009\u00b1\u20090.05 vs.\u00a04.13\u2009\u00b1\u20090.82,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001) and shorter time to resuming a normal diet (mean 3.4\u2009\u00b1\u20090.77 vs. 4.07\u2009\u00b1\u20090.69\u2009days,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001). No significant differences were observed in haemorrhage, readmission, or halitosis rates between the different surgical techniques.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>PITA was associated with higher rates of fever 1\u2010week postoperatively. Parents should be informed about the possibility of fever and educated on how to manage it.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/coa.70078","type":"journal-article","created":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T12:34:51Z","timestamp":1767098091000},"page":"380-385","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Intracapsular Tonsillectomy and Adenoidectomy Is Associated With Higher Rates of Postoperative Fever: Prospective Cohort Study"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7333-6854","authenticated-orcid":false,"given":"Roee","family":"Noy","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Rambam Health Care Campus  Haifa Israel"},{"name":"Ruth and Bruce Rappaport Faculty of Medicine  Haifa Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roni","family":"Barzilai","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Rambam Health Care Campus  Haifa Israel"},{"name":"Ruth and Bruce Rappaport Faculty of Medicine  Haifa Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emad Elias","family":"Khoury","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Rambam Health Care Campus  Haifa Israel"},{"name":"Ruth and Bruce Rappaport Faculty of Medicine  Haifa Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arie","family":"Gordin","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Rambam Health Care Campus  Haifa Israel"},{"name":"Ruth and Bruce Rappaport Faculty of Medicine  Haifa Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,30]]},"reference":[{"key":"e_1_2_11_2_1","first-page":"1","article-title":"Ambulatory Surgery Data From Hospitals and Ambulatory Surgery Centers: United States, 2010","volume":"102","author":"Hall M. 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