{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T15:00:16Z","timestamp":1787497216742,"version":"build-2736575974"},"reference-count":27,"publisher":"S. Karger AG","issue":"6","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ORL"],"published-print":{"date-parts":[[2020]]},"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Introduction:&lt;\/i&gt;&lt;\/b&gt; Powered intracapsular tonsillectomy (PIT) is a technique that protects the tonsillar capsule by using a microdebrider, resulting in faster wound-healing and reduced suffering. Many studies have found PIT to be effective, particularly in pediatric patients with obstructive sleep apnea (OSA). However, previous studies have not included patients with a history of recurrent tonsillitis. &lt;b&gt;&lt;i&gt;Objective:&lt;\/i&gt;&lt;\/b&gt; The aim of this study was to determine the efficacy of PIT in pediatric patients even with a history of recurrent tonsillitis, and therefore, we want to expand the indication for PIT and reveal its safety. &lt;b&gt;&lt;i&gt;Methods:&lt;\/i&gt;&lt;\/b&gt; A total of 886 pediatric patients underwent PIT between February 2013 and March 2016. All patients rated their postoperative pain using a visual analog scale (VAS) and completed the Korean obstructive sleep apnea (KOSA)-18 questionnaire for assessment of their quality of life (QOL). There were 539 males and 347 females. Their mean age was 6.2 years (range 2\u201314 years). The majority (77.7%) underwent the operation for OSA, and the rest (22.3%) had a history of recurrent tonsillitis. To compare the efficacy of PIT with traditional tonsillectomy, we selected 191 patients who underwent extracapsular tonsillectomy (ECT), a conventional technique, during the same time period. The median follow-up period was 16.7 months. During the follow-up period, instances of delayed bleeding and recurrent pharyngitis were monitored. &lt;b&gt;&lt;i&gt;Results:&lt;\/i&gt;&lt;\/b&gt; In comparison to the patients who underwent ECT, the PIT group showed significantly fewer cases of postoperative bleeding (&lt;i&gt;p&lt;\/i&gt; = 0.027). Thirteen patients in the PIT group (1.5%) visited the hospital during the follow-up period for pharyngitis, while 8 in the ECT group (4.2%) visited for pharyngitis. The mean postoperative pain score, as assessed by a VAS, was 4.6 \u00b1 3.2, and pain improved within an average of 2.9 days after surgery in the PIT group. The mean KOSA-18 score for the QOL of the patients was 65.9 preoperatively and 35.6 postoperatively in the PIT group. &lt;b&gt;&lt;i&gt;Conclusions:&lt;\/i&gt;&lt;\/b&gt; Pediatric tonsillectomy using PIT is valid for reducing postoperative pain and improving the QOL of OSA patients. PIT is also effective and safe for patients with a history of recurrent tonsillitis.<\/jats:p>","DOI":"10.1159\/000509479","type":"journal-article","created":{"date-parts":[[2020,10,19]],"date-time":"2020-10-19T17:00:31Z","timestamp":1603126831000},"page":"335-342","source":"Crossref","is-referenced-by-count":2,"title":["Feasibility of Powered Intracapsular Tonsillectomy in Pediatric Patients with Tonsil Problem, Including Recurrent Tonsillitis: A Single Surgeon\u2019s Experience"],"prefix":"10.1159","volume":"82","author":[{"given":"Heejin","family":"Kim","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sung\u00a0Won","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sung\u00a0Min","family":"Park","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sung\u00a0Kyun","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seok\u00a0Jin","family":"Hong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seok\u00a0Min","family":"Hong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young\u00a0Bok","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Il\u00a0Seok","family":"Park","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2020,10,19]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-1672"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e3181724269"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/S0031-3955(03)00037-3"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200208001-00007"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.130.10.1197"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.133.9.925"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2004.07.006"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.132.6.599"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(03)00727-7"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20257"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2010.09.007"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2005.10.039"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1159\/000108368"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2007.11.016"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2002.129736"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(01)00553-5"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1177\/0194599817700374"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-007-0462-2"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.130.11.1303"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.132.3.270"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2007.11.006"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20024"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2008.03.003"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1111\/coa.12717"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1080\/00016489.2017.1322712"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200402000-00022"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2005.03.012"}],"container-title":["ORL"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/509479","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/509479","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T11:47:19Z","timestamp":1745408839000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000509479"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020]]},"references-count":27,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2020,11,27]]},"published-print":{"date-parts":[[2020,12,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000509479","archive":["Portico"],"relation":{},"ISSN":["0301-1569","1423-0275"],"issn-type":[{"value":"0301-1569","type":"print"},{"value":"1423-0275","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020]]}}}