What is the Difference Between Tonsillectomy and Tonsillotomy?

Tonsillectomy and tonsillotomy are two surgical procedures used to treat tonsil-related issues, such as obstructive sleep-disordered breathing (SDB) and recurrent acute tonsillitis. The main difference between the two procedures is the extent of tonsil removal:

• Tonsillectomy: This procedure involves the complete removal of the tonsils, which are lymphoid tissues located in the back of the throat.
• Tonsillotomy: Also known as intracapsular tonsillectomy, this procedure involves the partial removal of the tonsils.

Some studies suggest that tonsillotomy may be advantageous over tonsillectomy in terms of short-term outcomes, such as lower hemorrhage rate, shorter procedure time, and reduced pain. However, there is no significant difference between the two techniques in terms of resolving obstructive symptoms, quality of life, or postoperative immune function. In the long term, both procedures have comparable effectiveness for managing children with SDB.

Tonsillotomy is thought to have a similar beneficial effect as tonsillectomy on snoring and may result in less postoperative pain due to the residual tissue within the tonsillar bed, which reduces exposure and inflammation of the underlying pharyngeal muscles. Additionally, decreased disruption of blood vessels beneath the tonsillar capsule may reduce the need for electrocautery, postoperative pain, and the risk of bleeding. Consequently, patients who undergo tonsillotomy may return to normal activity more quickly.

Comparative Table: Tonsillectomy vs Tonsillotomy

Tonsillectomy and tonsillotomy are two different surgical methods used to treat recurrent tonsillitis or sleep-disordered breathing in children. Here is a table comparing the two procedures:

Both procedures have their advantages and disadvantages. Tonsillotomy is associated with a lower risk of postoperative bleeding, shorter operation time, and faster pain relief compared to tonsillectomy. However, there is a possibility of tonsil tissue regrowth, which may require additional surgery. In the long term, there is no significant difference in the resolution of upper-airway obstructive symptoms, quality of life, or postoperative immune function between the two procedures.