Research shows PITA technique very effective in treating OSA

In several recent studies, researchers found that the PITA (Powered Intracapsular Tonsillectomy & Adenoidectomy) technique was effective in removing the airway obstruction in 99% of sleep apnea patients who had the procedure.

Not only was PITA effective in treating OSA, but it also provided patients with considerably less postoperative pain and a faster return to normal activity.

All of these studies regularly observed that, in children who underwent the PITA technique:

  • postoperative pain was cut in half;
  • return to normal diet times were cut in half;
  • narcotic usage (pain medicine) was lower; and
  • postoperative bleeding and dehydration complications requiring hospital readmission were reduced.
"This is a technique that is truly going to revolutionize one of the most common operations we do," said Peter Koltai, MD, an ENT (ear, nose and throat) specialist at a children's clinic in Cleveland, Ohio.

Articles about the PITA technique

MICRODEBRIDER PITA TECHNIQUE

  1. Reduced Bleeding After Intracapsular Tonsillectomy
    Gan K, Tomlinson C, El-Hakim H. Post-operative bleeding is less after intracapsular tonsillectomy than bipolar total procedure. Int J Pediatr Otorhinolaryngol 2009 Jan 30.
  2. Comparison of Three Tonsillectomy Techniques: Randomized, Double-Blind Study
    Wilson YL, Merer DM, Moscatello AL. Comparison of three common tonsillectomy techniques: a prospective randomized, double-blinded clinical study. Laryngoscope 2009;119:162-170.
  3. Microdebrider Intracapsular Tonsillectomy: A Review
    Vaughan AH, Derkay CS. Microdebrider intracapsular tonsillectomy. ORL J Otorhinolaryngol Relat Spec 2007;69:358-63.
  4. Microdebrider-Assisted Partial Tonsillectomy versus Electrocautery-Assisted Total Tonsillectomy: A Randomized Controlled Trial
    Bitar MA, Rameh C. Microdebrider-assisted partial tonsillectomy: short- and long-term outcomes. Eur Arch Otorhinolaryngol 2008;265(4):459-63. Epub 2007 Oct 2.
  5. Complications of Tonsillectomy Techniques
    Schmidt R, Herzog A, Cook S, O'Reilly R, Deutsch E, Reilly J. Complications of tonsillectomy. A comparison of techniques. Arch Otolaryngol Head Neck Surg 2007;133:925-8.
  6. Powered Intracapsular Tonsillectomy versus Traditional Tonsillectomy for Recurrent Tonsillitis
    Schmidt R, Herzog A, Cook S, O'Reilly R, Deutsch E, Reilly J. Powered intracapsular tonsillectomy in the management of recurrent tonsillitis. Otolaryngol Head Neck Surg 2007;137:338-40.
  7. Microdebrider Tonsillotomy versus Electrosurgical Tonsillectomy: Randomized Study of Pain
    Lister MT, Cunningham MJ, Benjamin B, Williams M, Tirrell A, Schaumberg DA, Hartnick CJ. Microdebrider tonsillotomy vs electrosurgical tonsillectomy: a randomized, double-blind, paired control study of postoperative pain. Arch Otolaryngol Head Neck Surg 2006;132:599-694.
  8. Recovery After Intracapsular versus Electrocautery Tonsillectomy: Randomized Study
    Sobol SE, Wetmore RF, Marsh RR, Stow J, Jacobs IN. Post-operative recovery after microdebrider intracapsular or monopolar electrocautery tonsillectomy: a prospective, randomized, single-blinded study. Arch Otolaryngol Head Neck Surg 2006;132:270-4.
  9. Post-Tonsillectomy Morbidity: Randomized Trial of the Microdebrider Intracapsular Technique versus Low-Wattage Electrocautery
    Derkay CS, Darrow DH, Welch C, Sinacori J.     Post-tonsillectomy morbidity and quality of life in pediatric patients with obstructive tonsils and adenoid: microdebrider vs electrocautery. Otolaryngol Head Neck Surg 2006; Jan; 134(1):114-20.
  10. Safety and Efficacy of Powered Intracapsular Tonsillectomy
    Solares CA, Koempel JA, Hirose K, Abelson TI, Reilly JS, Cook SP, April MM, Ward RF, Bent JP 3rd, Xu M, Koltai PJ. Safety and efficacy of powered intracapsular tonsillectomy in children: a multi-center retrospective case series. Int J Pediatr Otorhinolaryngol 2005;69:21-6.
  11. Recovery after Microdebrider versus Monopolar Tonsillectomy: Randomized Study
    Sobol SE, Wetmore RF, Marsh RR, Stow J, Jacobs IN. Postoperative recovery after microdebrider or monopolar tonsillectomy: a prospective, randomized, single-blinded study. Arch Otolaryngol Head Neck Surg. 2006 Mar;132(3):270-4.
  12. Complications of Powered Intracapsular Tonsillectomy and Adenoidectomy
    Sorin A, Bent JP, April MM, Ward RF. Complications of microdebrider-assisted powered intracapsular tonsillectomy and adenoidectomy. Laryngoscope 2004;114:297-300.
  13. Powered Intracapsular Tonsillectomy in Very Young Children
    Bent JP, April MM, Ward RF, Sorin A, Reilly B, Weiss G. Ambulatory powered intracapsular tonsillectomy and adenoidectomy in children younger than 3 years. Arch Otolaryngol Head Neck Surg 2004;130:1197-1200.
  14. Partial Tonsillectomy for Obstructive Sleep-Disordered Breathing in Children
    Koltai PJ, Solares A, Koempel JA, Hirose K, Abelson TI, Krakovitz PR, Chan J, Xu M, Mascha EJ. Intracapsular tonsillar reduction (partial tonsillectomy): reviving a historical procedure for obstructive disordered breathing in children. Otolaryngol Head Neck Surg 2003;129:532-8.
  15. The Value of Intracapsular Tonsillectomy
    Koltai PJ. Capsule sparing in tonsil surgery: the value of intracapsular tonsillectomy [letter]. Arch Otolaryngol Head Neck Surg 2003;129:1357.
  16. Intracapsular Partial Tonsillectomy for Tonsillar Hypertrophy
    Koltai PJ, Solares CA, Mascha EJ, Xu M. Intracapsular partial tonsillectomy for tonsillar hypertrophy in children. Laryngoscope 2002;112:17-19.
  17. Intracapsular Partial Tonsillectomy versus Full Tonsillectomy: Long-Term Effects
    Hultcrantz E, Linder A, Markström A. Long-term effects of intracapsular partial tonsillectomy (tonsillotomy) compared with full tonsillectomy. Int J Pediatr Otorhinolaryngol 2005;69:463-9.

    18. ADENOIDECTOMY TECHNIQUES

  18. Powered Partial Adenoidectomy
    Murray N, Fitzpatrick P, Guarisco JL. Powered partial adenoidectomy. Arch Otolaryngol Head Neck Surg 2002;128:792-6.
  19. Power-Assisted Partial Adenoidectomy
    Rodriguez K, Murray N, Guarisco JL. Power-assisted partial adenoidectomy. Laryngoscope 2002; 112:26-28.
  20. Controlled Study of Adenotonsillectomy
    Roydhouse N. A controlled study of adenotonsillectomy. Arch Otolaryngol 1970;92:611-6.

    21. CONFERENCE PRESENTATIONS

  21. Microdebrider-Assisted Partial Tonsillectomy versus Electrocautery Tonsillectomy
    Bhayani R, Bent JP, April MM, Ward RF. Comparison of microdebrider assisted partial tonsillectomy with electrocautery tonsillectomy: retrospective pilot study. Presented at: Seventeenth Annual Meeting of the American Society of Pediatric Otolaryngology; May 12-14, 2002; Boca Raton, FL.
  22. Parents' Satisfaction with Intracapsular Tonsillectomy 1 Year Later
    Cook SP, O'Reilly RC, Bernat R, Otto T, Lawless ST, Reilly JS. Outcome and satisfaction of intracapsular tonsillectomy in children: one-year follow-up. Presented at: Nineteenth Annual Meeting of the American Society of Pediatric Otolaryngology; May 2-4, 2004; Phoenix, AZ.
Back to top

What The Professionals Are Saying About PITA

"PITA reduces ear pain in tonsillectomy patients" - Cunningham.
Read more.

"PITA reduces post-op bleeding 76% and reduces dehydration 91% in adult tonsillectomies" - Gaslin.
 Read more.

"PITA reduces post-op bleeding complication by over 60%" - Reilly.
Read more.

"PITA reduces post-op bleeding and dehydration complications" - Koltai.
Read more.

Find-A-Physician

To find the ENT physician nearest you who performs the PITA™ technique, click here.
"This is a technique that is truly going to revolutionize one of the most common operations we do," states Peter Koltai, MD, a physician at a children's clinic in Cleveland, Ohio.

Did you know that OSA could be the underlying cause of ADHD in some children?

Now there is evidence that obstructive sleep apnea may be the root cause of ADHD in certain children. Learn more.

Rx Only

IMPORTANT SAFETY INFORMATION!
THIS THERAPY IS NOT FOR EVERYONE. PLEASE CONSULT YOUR PHYSICIAN. A PRESCRIPTION IS REQUIRED.
FOR FURTHER INFORMATION, PLEASE CALL MEDTRONIC ENT AT 800-874-5797

THIS SITE DOES NOT PROVIDE MEDICAL ADVICE. IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY, CALL YOUR DOCTOR OR 911 IMMEDIATELY.

This website is created and sponsored by Medtronic ENT as an informational and educational resource for the general public. The medical information within this website has been reviewed to ensure its accuracy. Medtronic ENT has a financial interest in the products sold in this medical field.
All articles and graphics copyright ©2003, 2004, 2005, 2006, 2007, 2008 Medtronic, Inc. All rights reserved. TM is trademark of Medtronic, Inc. ® is a registered trademark of Medtronic, Inc.
Please review our Privacy Policy, Terms Of Use or Contact Us for more information. Resource Page
Version 2.1.0 This webpage was first published on November 10, 2009, and was last updated on December 04, 2009.
LandmarX.com | Meniett.com | MedtronicENT.com | MicroFrance.com | ObstructedNose.com | SinusInfoCenter.com