Minimally invasive vs. traditional tonsillectomy techniques: a systematic review and meta-analysis of randomized controlled trials

Yanan Zhou, He Ming, Jiao Liang, Qingzhu You · 2026

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Description

Yanan Zhou and colleagues published a 2026 systematic review and meta-analysis comparing minimally invasive tonsillectomy techniques with traditional cold dissection for chronic tonsillitis. Searching four databases for randomized trials up to late December 2025, they pooled sixteen trials with 1,528 patients. Outcomes covered operating time, blood loss, pain on day one, and later bleeding.

Minimally invasive methods shortened operations by roughly ten minutes on average and reduced blood loss during surgery by a larger margin. Sensitivity checks kept those findings intact. Pain on day one did not differ between approaches, and neither early nor delayed bleeding rates separated the groups. The certainty ratings were sobering: very low for operating time, blood loss, and pain, and low for bleeding outcomes, with heavy disagreement between trials left unresolved. The authors conclude the newer techniques may offer efficiency gains, but stronger trials must confirm them before practice changes on this evidence alone.

Catalog record

CREATORYanan Zhou, He Ming, Jiao Liang, Qingzhu You
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE50 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC13279436

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