Efficacy of endoscopic powered intracapsular tonsillectomy and adenoidectomy for pediatric obstructive sleep apnea: A retrospective case-control study

• Published in: Auris, nasus, larynx nasus, larynx, 2023-06, Vol.50 (3), p.383-388
• Main Authors: Noda, Masao, Shimada, Mari Dias, Koshu, Ryota, Saito, Chizu, Ito, Makoto
• Format: Article
• Language: English
• Subjects: Adenoidectomy; Case-Control Studies; Case-control study; Child; Humans; Pediatric obstructive sleep apnea; Postoperative Hemorrhage - epidemiology; Powered intracapsular tonsillectomy and adenoidectomy; Quality of Life; Retrospective Studies; Retrospective study; Sleep Apnea, Obstructive - surgery; Tonsillectomy
• ISSN: 0385-8146; 1879-1476
• DOI: 10.1016/j.anl.2022.08.008

Safe surgery for pediatric patients with obstructive sleep apnea (OSA) is important to decrease postoperative events and improve cost-effectiveness. Therefore, this study aimed to compare surgical efficacy and safety between powered intracapsular tonsillectomy and adenoidectomy (PITA) and extracapsular tonsillectomy and adenoidectomy for OSA in children. In this retrospective case-control study, patient characteristics and postoperative outcomes were compared between 93 children with OSA who underwent PITA and 81 children who underwent conventional extracapsular tonsillectomy and adenoidectomy at a tertiary hospital. Data analysis using multivariate, multiple regression, and binomial logistic regression analyses was performed. PITA reduced the odds of postoperative hemorrhage by 8.95% (odds ratio [OR]: 5.69, p = 0.013) and of secondary hemorrhage by 8.8% (OR: 10.08, p = 0.006), decreased postoperative analgesia use by 0.35% (p