Can one surgical approach reduce postoperative bleeding, shorten recovery, and save hundreds of dollars per case? In this episode of the BackTable ENT Podcast, Dr. Stephen Chorney, pediatric otolaryngologist at the University of Texas Southwestern Medical Center, joins hosts Dr. Ashley Agan and Dr. Gopi Shah to discuss the benefits and techniques of coblation intracapsular tonsillectomy. Drawing from his extensive clinical experience and findings from his recent Triological thesis, Dr. Chorney reviews the cost effectiveness of coblation intracapsular tonsillectomy compared to traditional extracapsular approaches.

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This podcast is supported by:

Smith+Nephew

https://www.smith-nephew.com/en-us/health-care-professionals/products/ear-nose-and-throat/coblation-technology-for-adenotonsillectomy#overview

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SYNPOSIS

The conversation highlights key advantages of coblation intracapsular tonsillectomy, including lower postoperative bleeding rates, reduced pain, faster recovery, and meaningful economic benefits. Dr. Chorney also shares practical pearls on surgical technique with coblation, equipment settings, and postoperative care, making this episode a valuable resource for surgeons considering or already performing intracapsular tonsillectomy.

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TIMESTAMPS

00:00 - Introduction
03:34 - Intracapsular Tonsillectomy: Training and Adoption
08:46 - Patient Selection and Surgical Techniques
15:50 - Postoperative Care and Pain Management
37:26 - Understanding Post-Workout Pain and Recovery
38:13 - Comparing Surgical Tools: Microdebrider vs. Coblator
38:54 - Visual Cues and Techniques in Tonsillectomy
39:22 - Challenges and Solutions in Tonsillectomy Procedures
46:37 - Case Studies and Video Demonstrations
56:12 - Cost-Effectiveness of Intracapsular Tonsillectomy
01:07:19 - Conclusion and Final Thoughts

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RESOURCES

Dr. Stephen Chorney
https://utswmed.org/doctors/stephen-chorney/

Trio Thesis
https://onlinelibrary.wiley.com/doi/full/10.1002/lary.32448