Evidence map›Paper›PMID 41771585›Full record

ArticleThe Laryngoscope2026

Long-Term Outcomes After Intracapsular Tonsillectomy.

Shayan Jalali, Glenn Isaacson

Abstract read
In one paragraph

Article in The Laryngoscope, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Shayan JalaliDepartments of Otolaryngology-Head and Neck Surgery, and Pediatrics, Lewis Katz School of Medicine at Temple University., Philadelphia, Pennsylvania, USA.
Glenn IsaacsonDepartments of Otolaryngology-Head and Neck Surgery, and Pediatrics, Lewis Katz School of Medicine at Temple University., Philadelphia, Pennsylvania, USA.ORCID 0000-0002-5977-1796

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveResearch suggests that intracapsular tonsillectomy (ICT) is less morbid than extracapsular tonsillectomy. It is underutilized, in part, because of concerns regarding its effectiveness and the possible need for repeat surgery in the future. We conducted long-term follow-up patient interviews to evaluate symptom control and incidence of revision tonsillectomy in children who had undergone ICT years earlier.

methodsA computerized collection of office notes and operative reports was queried to identify children undergoing ICT in the years 2010-2023 at an academic pediatric otolaryngology practice. We contacted these families and assessed persistence of recurrent sore throat, snoring, and upper airway obstruction and need for revision or completion tonsillectomy.

results219/610 (35.9%) families of children and teenagers operated on during the study period were successfully contacted. 181/219 (82.6%) contacts elected to participate in the study. Median age at surgery was 7.6 years (range = 1.2, 21.4). Median follow-up time was 8.7 years (range = 1.9, 15.3). ICT controlled snoring/upper airway obstruction (95/104-91.3%) and severe recurrent sore throat (72/77-93.5%), with 167/181 (92.3%) respondents reporting symptom resolution. 10/181 (5.5%) respondents reported postoperative bleeding. 6/181 (3.3%) patients reported undergoing a second tonsillectomy, four of which were for upper airway obstruction. 1/181 (0.6%) child was treated for peritonsillar abscess after intracapsular tonsillectomy.

conclusionsIntracapsular tonsillectomy is effective both short- and long-term for the control of symptoms of upper airway obstruction and recurrent sore throat. This study provides a modest reinforcement of existing literature that suggests significant benefit from ICT as a treatment option. LEVEL OF EVIDENCE: 4:

Indexed as

TonsillectomyAdolescentAirway ObstructionChildChild, PreschoolFemaleFollow-Up StudiesHumansInfantMalePharyngitisPostoperative ComplicationsRecurrenceReoperationSnoringTreatment Outcomeintracapsular tonsillectomyperitonsillar abscesspost‐tonsillectomy hemorrhagesleep disordered breathingsurgical safety

Identifiers

PMID41771585
PMCPMC13357318

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.