Tonsillectomy vs. Tonsillotomy in Adults With Obstructive Sleep Apnea

Tonsillectomy Versus Tonsillotomy in Adults With Obstructive Sleep Apnea; a Randomized Controlled Trial Comparing Postoperative Morbidity

The primary purpose of this randomized controlled trial s to investigate whether surgical reduction of palatine tonsils (tonsillotomy) is a superior treatment compared to complete surgical removal of palatine tonsils (tonsillectomy) in adults patients with obstructive sleep apnea and concomitant enlarged tonsils in regards of perioperative and postoperative morbidity.

Inclusion Criteria:

• Age > 18 years
• Tonsil size 2, 3, or 4 (Friedman tonsil scale)
• Confirmed OSA with sleep analysis not older than a year either CRM or PSG
• ASA 1 or 2
• BMI < 35 kg/m2

Exclusion Criteria:

Children age < 18 years

• Previous pharyngeal surgery such as previous tonsillotomy, tonsillectomy or palatal surgery
• Epileptic disease or severe neurological comorbidity.
• ASA 3, or 4.
• Central sleep apnea
• Previous thrombotic disease.
• Currently treated with sleep medications
• No collapse of oropharyngeal lateral wall during DISE
• Dropout of study, lack of sleep analysis or lack of postoperative DISE.