Intracapsular Tonsillectomy in Adults

  • End date
    Dec 30, 2027
  • participants needed
  • sponsor
    Turku University Hospital
Updated on 4 October 2022


Comparing the classical extracapsular tonsillectomy (TE) performed with electrosurgery to intracapsular approaches (SIPT) by coblation or microdebrider. The patient group is adults with recurrent or chronic tonsillitis


Extracapsular tonsillectomy (TE) with monopolar electrosurgery is the most commonly used approach in adult tonsil surgery in Turku University Central Hospital, Finland.

In our study setting we are comparing intracapsular tonsillectomy (subtotal/intracapsular/partial tonsillectomy (SIPT) ) as the intervention group with extracapsular tonsillectomy as the control group.

SIPT is done with either coblation or microdebrider and TE with monopolar electrosurgery.

Indications for surgery are recurrent tonsillitis or chronic tonsillitis. The patient group is adults (16-65 years)

Safety, efficiency and cost-effectiveness are monitored in a prospective, patient-blinded and randomised study setting.

Condition Tonsil Disease, Tonsillitis, Tonsillitis Acute, Tonsillitis Chronic
Treatment tonsillectomy
Clinical Study IdentifierNCT03654742
SponsorTurku University Hospital
Last Modified on4 October 2022


Yes No Not Sure

Inclusion Criteria

Age 16-65 years
Planned tonsil surgery with informed consent
Recurrent or chronic tonsillitis

Exclusion Criteria

Less than 1 month old, drained quinsy
Acute "hot phase" tonsillitis
Previous palatine tonsil surgery
Suspicion or confirmation of malignancy
High dose analgesics consumption
Current CPAP-device usage for treatment of OSAS
Untreated gastro-esophageal reflux disease
Anticoagulative medication
Any condition of hemophilia
Pregnancy, lactation
Current or positive history of malignant disease (if still active follow-up)
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