Paediatric Tonsillectomy
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2025-11-10
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Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery
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University of Cape Town
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Abstract
Tonsil surgery includes tonsillectomy where the aim is complete removal of the tonsil, compared to tonsillotomy where the aim is to remove part of the tonsil in order to create more space in the oropharynx. Indications for tonsillotomy are limited and include surgery for sleep disordered breathing in very young children where the aim is to limit morbidity associated with postoperative pain and bleeding. Intracapsular tonsillectomy (IT) is now the preferred technique for many paediatric ENT surgeons. The aim of this procedure is to remove all tonsil tissue while preserving the deep part of the tonsil capsule and to avoid injury to the palatopharyngeus, palatoglossus and pharyngeal constrictor muscles.
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Reference:
Grainger, J. & Jonas, N. 2025. Paediatric Tonsillectomy. In Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery. J. Fagan, Ed.Cape Town, South Africa: University of Cape Town. 10. http://hdl.handle.net/11427/43554 .