Rethinking surgical technique and priorities for pediatric tonsillectomy

Am J Otolaryngol. 2017 Mar-Apr;38(2):233-236. doi: 10.1016/j.amjoto.2017.01.011. Epub 2017 Jan 18.


The past 100years have witnessed dramatic shifts in the concept of ideal surgical goals and operative technique in tonsil surgery. Surgeons are reviving a technique of intracapsular tonsillectomy with increasing precision thanks to modern technology. With intracapsular tonsillectomy, pediatric patients recover faster, use less pain medication, and have a lower risk of dehydration and hemorrhage. Various considerations will dictate the adoption of this technology in the coming years. This current review explores concepts and controversies surrounding tonsillectomy with a focus on quality improvement.

Publication types

  • Review

MeSH terms

  • Child
  • Humans
  • Pain, Postoperative / prevention & control
  • Postoperative Complications / prevention & control
  • Postoperative Hemorrhage / prevention & control
  • Quality Improvement
  • Tonsillectomy / methods*