Intracapsular Tonsillectomy in Adults

Last updated: September 3, 2025
Sponsor: Turku University Hospital
Overall Status: Active - Not Recruiting

Phase

N/A

Condition

Fever

Pharyngitis

Throat And Tonsil Infections

Treatment

tonsillectomy

Clinical Study ID

NCT03654742
T211/2018
  • Ages 16-65
  • All Genders

Study Summary

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

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Age 16-65 years

  • Planned tonsil surgery with informed consent

  • Recurrent or chronic tonsillitis

Exclusion

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)

Study Design

Total Participants: 167
Treatment Group(s): 1
Primary Treatment: tonsillectomy
Phase:
Study Start date:
September 27, 2019
Estimated Completion Date:
December 30, 2028

Study Description

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.

Connect with a study center

  • TYKS Korvaklinikka

    Turku, 20521
    Finland

    Site Not Available

  • TYKS Korvaklinikka

    Turku 633679, 20521
    Finland

    Site Not Available

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