Prospective cohort study demonstrates effective outcomes of intracapsular tonsillectomy in adults with obstructive sleep apnea, indicating a sufficient recovery period.
Key Points
Determine if intracapsular tonsillectomy is sufficient for treating obstructive sleep apnoea in adults with large tonsils.
Prospective cohort study of adults aged 16–65 with moderate to severe obstructive sleep apnoea and tonsillar hypertrophy.
All patients underwent intracapsular tonsillectomy using coblation method.
Outcomes measured included apnoea-hypopnoea index reduction and patient-reported outcomes.
Surgical success rate was 68.8%, with a surgical cure rate of 43.8%.
Mean apnoea-hypopnoea index decreased from 37.4 to 11.8 events per hour (p = .003).
Mean apnea index decreased from 13.3 to 4.1 events per hour (p = .002).