الفهرس 
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Abstract
Summary
Tonsils are a pair of lymphoid tissues that act as the first line of defence against bacteria and virus located at the lateral wall of oropharynx. The inflammation of the tonsil is expressed by tonsillitis that commonly affects children.
Tonsillectomy is one of the most common operations performed on children. Tonsillectomy has been received a great of interest for many years, with different degree of popularity over the centuries. Tonsillectomy can be performed by dissecting the tonsil from its surrounding capsule, a so-called extracapsular tonsillectomy. Significant pain and frequent bleeding that considered as postoperative problems of this technique led to a recent interest in what is called ‘intra capsular tonsillectomy’ in order to reduce these complications.
Over the last two decades, to reduce some of the morbidity and speed recovery time, there has been renewed interest and research in different surgical instruments to remove the tonsils ranging from “cold steel” tonsillectomy, electrocautery techniques, coblation, harmonic scalpel (Ethicon, Cincinnati, OH), CO2 laser, bipolar scissors, plasma knife (Gyrus, Tuttlingen, Germany), and microdebrider intracapsular tonsillectomy (KARL STORZ).
The use of microdebrider partial tonsillectomy is competing with the conventional total tonsillectomy in many aspects. Comparison in different parameters showed some advantages for the microdebrider method over the conventional method.
In our study, 25 patients (11 males and 14 females) aged between 4 to 12years indicated for tonsillectomy. They had left microdebrider intracapsular tonsillectomy and right conventional extracapsular surgical tonsillectomy.
We found that microdebrider intracapsular tonsillectomy have a significant less pain post tonsillectomy while we found no significant difference between the two techniques in operative time, blood loss during operation, wound healing and complications.