Weight Gain in Obese Children After Intracapsular Tonsillectomy
ABSTRACT Objectives To analyze short‐term weight gain among obese children after intracapsular tonsillectomy. Methods A retrospective cohort included all children with a body mass index (BMI) > 95th percentile obtaining intracapsular tonsillectomy between 2021 and 2023 at a tertiary children'...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2025-06-01
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| Series: | Laryngoscope Investigative Otolaryngology |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/lio2.70147 |
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| Summary: | ABSTRACT Objectives To analyze short‐term weight gain among obese children after intracapsular tonsillectomy. Methods A retrospective cohort included all children with a body mass index (BMI) > 95th percentile obtaining intracapsular tonsillectomy between 2021 and 2023 at a tertiary children's hospital. Measurements at least 30 days and at least 90 days postoperatively were recorded. BMI was expressed as a percentage of the 95th percentile (%BMIp95) and grouped by initial %BMIp95 ≤ 120 (class I obesity) or %BMIp95 > 120 (class II and III obesity). Results There were 68 children that underwent intracapsular tonsillectomy at a mean age of 7.2 years (SD: 3.8) with obstructive breathing indications for 91% (N = 62). Mean %BMIp95 at surgery was 121 (95% confidence interval [CI]: 117–125). Class I obesity was noted for N = 39 (57%) and class II/III obesity was noted for N = 29 children (43%). At a mean of 6.9 months (SD: 5.3), the change in %BMIp95 was 1.77 (95% CI: −1.03 to 4.57) for class I and 3.27 (95% CI: 0.55 to 6.00) for class II/III obese children (p = 0.45). Measurements at least 90 days after surgery (mean: 12.8 months (SD: 5.2) showed no differences in %BMIp95 change between children with class I (1.17; 95% CI: −3.63 to 5.96) and class II/III obesity (3.00; 95% CI: −2.25 to 8.25) (p = 0.60). Conclusion Weight gain after intracapsular tonsillectomy was similar between children with low and high obesity class. Consistent growth trajectories continued beyond 3 months, suggesting intracapsular tonsillectomy may be an appropriate technique to address obstructive breathing in obese children. Level of Evidence III. |
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| ISSN: | 2378-8038 |