Why Is There No Statement Regarding Partial Intracapsular Tonsillectomy (Tonsillotomy) in the New Guidelines?

被引:26
作者
Parikh, Sanjay R. [1 ,2 ]
Archer, Sanford [3 ]
Ishman, Stacey L. [4 ,5 ,6 ]
Mitchell, Ron B. [7 ]
机构
[1] Univ Washington, Dept Otolaryngol Head & Neck Surg, Seattle, WA 98195 USA
[2] Seattle Childrens Hosp, Div Pediat Otolaryngol, 4800 Sand Point Way NE,OA9-329, Seattle, WA 98105 USA
[3] Univ Kentucky, Dept Otolaryngol Head & Neck Surg, Lexington, KY USA
[4] Cincinnati Childrens Hosp Med Ctr, Div Otolaryngol Head & Neck Surg, Cincinnati, OH 45229 USA
[5] Cincinnati Childrens Hosp Med Ctr, Div Pulm Med, Cincinnati, OH 45229 USA
[6] Univ Cincinnati, Coll Med, Dept Otolaryngol Head & Neck Surg, Cincinnati, OH USA
[7] UT Southwestern, Childrens Hlth Dallas, Div Pediat Otolaryngol, Dept Otolaryngol Head & Neck Surg, Dallas, TX USA
关键词
tonsillectomy; intracapsular; partial; tonsillotomy; guidelines; CHILDREN;
D O I
10.1177/0194599818810507
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Partial intracapsular tonsillectomy (PIT) was revisited in 2003 as an alternate surgical option to total tonsillectomy for the treatment of tonsillar hypertrophy. However, evaluation of the existing literature on PIT reveals that it is largely focused on comparing perioperative outcomes after PIT and total tonsillectomy, with few data regarding long-term outcomes. The goal of this commentary is to explain why PIT was not incorporated into the 2019 American Academy of Otolaryngology-Head and Neck Surgery Foundation clinical practice guideline for tonsillectomy, while acknowledging its use and potential advantages and disadvantages and outlining future research opportunities.
引用
收藏
页码:213 / 214
页数:2
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