Intracapsular Tonsillectomy: A Safe Alternative for OSA in Children

Introduction: Intracapsular tonsillectomy (ICT) represents an effective treatment for Obstructive Sleep Apnoea (OSA) and Sleep disordered breathing in children. The literature supports its use owing to efficacious treatment and a lower risk of post-operative pain and bleeding compared with total tonsillectomy. Here we present our technique of ICT using cold radiofrequency ablation (Coblation®). One of the perceived barriers to ICT is increased operative time, especially in the case of large protuberant tonsils. Our technique however is fast, safe and easy to replicate. For a fully informed choice, in appropriate cases, parents should be offered ICT as a safe alternative to total tonsillectomy especially in children at increased risk of post-operative haemorrhage.

Keywords: Tonsillectomy, Obstructive Sleep Apnoea, Sleep-Disordered Breathing