Intracapsular Tonsillectomy: Faster Recovery, Less Pain

The Division of Otolaryngology has adopted intracapsular tonsillectomy (ICT) as an alternative technique for tonsillectomy, offering faster recovery, reduced post-operative pain, and a lower risk of post-operative bleeding.

ICT involves subtotal removal of the tonsillar tissue while preserving the tonsillar capsule, which acts as a natural biologic dressing. This approach minimizes surgical trauma and enhances healing. While ICT carries a small risk of tonsillar regrowth (less than 1% of cases), regrowth is typically not clinically significant and rarely necessitates revision surgery.

This procedure is recommended for pediatric patients with enlarged tonsils and sleep-disordered breathing. Children with large tonsils and recurrent streptococcal infections may also be candidates. However, ICT is generally not optimal for children with small tonsils, even in cases of recurrent tonsillitis.

Post-operatively, most children can return to school within 3 to 5 days and resume strenuous activity after 7 days. Pain management includes acetaminophen, ibuprofen, and dexamethasone.

ICT is performed by Ashley Soaper, MD and Carol Li, MD at our Base, Liberty, and Eden Park campuses. When referring patients specifically for ICT, please indicate Dr. Soaper or Dr. Li in the referral.

If you have questions or want more information, contact Cincinnati Children’s ENT office at 513-636-4355.