title: Rethinking surgical technique and priorities for pediatric tonsillectomy.
abstract: 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.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Eastern Virginia Medical School, 600 Gresham Drive Suite 1100, Norfolk, Virginia 23507, USA. Electronic address: rubinsbj@evms.edu.
authors.forename: Benjamin J
authors.initials: BJ
authors.lastname: Rubinstein
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Eastern Virginia Medical School, 600 Gresham Drive Suite 1100, Norfolk, Virginia 23507, USA. Electronic address: Craig.Derkay@chkd.org.
authors.forename: Craig S
authors.initials: CS
authors.lastname: Derkay
mesh_terms: D002648:Child; D006801:Humans; D010149:Postoperative Pain / Q000517:prevention & control; D011183:Postoperative Complications / Q000517:prevention & control; D019106:Postoperative Hemorrhage / Q000517:prevention & control; D058996:Quality Improvement; D014068:Tonsillectomy / Q000379:methods*