Powered intracapsular tonsillectomy uses a “microdebrider” to remove the tonsils or adenoids. The microdebrider is a shaving device with a small rotating tip. This method is used to perform a sub-total tonsillectomy, a technique in which a layer of tonsil tissue is left to protect the throat muscles from exposure. It has been shown that the patient will experience less pain and have a faster recovery. The intracapsular method is not appropriate for recurrent or chronic tonsillitis.

How it works

When using the powered intracapsular method, the surgeon removes 90% of the tonsils by shaving away tissue. Bleeding is controlled by electrocautery. A layer of tonsil tissue is left over the throat muscles to prevent injury and inflammation.

Advantages Reduced pain: The powered intracapsular method leaves a thin layer of the tonsil tissue intact, thereby protecting the throat muscles from exposure and reducing post-operative pain compared to standard tonsillectomy (electrocautery or cold knife). Faster recovery: Because the throat muscles are left intact, recovery can be faster than with standard tonsillectomy methods.

Disadvantages Tonsil regrowth: As with any sub-total (intracapsular) tonsillectomy method, there is a chance of tonsil regrowth and recurrent infection. Expense: The equipment used for powered intracapsular tonsillectomy methods is expensive compared to scalpel or electrocautery methods.