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Weight Gain in Obese Children After Intracapsular Tonsillectomy
Stephen R Chorney1,2, Rishi Suresh1, Neila Kline1
1Department of Otolaryngology-Head and Neck Surgery University of Texas Southwestern Medical Center Dallas Texas USA.
Laryngoscope Investigative Otolaryngology
|May 15, 2025
Summary
Intracapsular tonsillectomy did not significantly alter weight gain in obese children, regardless of obesity class. This suggests the procedure is suitable for treating obstructive breathing in this population.
Area of Science:
- Pediatric Surgery
- Obesity Management
- Otolaryngology
Background:
- Obesity is a growing concern in children, often associated with obstructive breathing issues.
- Intracapsular tonsillectomy is a surgical option for managing obstructive breathing.
- Understanding the impact of this surgery on weight gain in obese children is crucial.
Purpose of the Study:
- To analyze short-term weight gain in obese children following intracapsular tonsillectomy.
- To compare weight changes between different classes of obesity post-surgery.
Main Methods:
- Retrospective cohort study of obese children (BMI >95th percentile) undergoing intracapsular tonsillectomy.
- Measurements of BMI as %BMIp95 recorded at least 30 and 90 days postoperatively.
- Children categorized into Class I (≤120 %BMIp95) and Class II/III (>120 %BMIp95) obesity.
Main Results:
- 68 obese children underwent the procedure, with 91% for obstructive breathing.
- No significant difference in %BMIp95 change was observed between Class I and Class II/III obesity at 6.9 months (1.77 vs 3.27, p=0.45).
- No significant differences in %BMIp95 change were found at >90 days post-surgery between obesity classes (1.17 vs 3.00, p=0.60).
Conclusions:
- Weight gain after intracapsular tonsillectomy was similar across different obesity classes in children.
- Consistent growth trajectories suggest intracapsular tonsillectomy is an appropriate technique for obstructive breathing in obese children.
- Further research can explore long-term outcomes and optimal surgical timing.
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