Skip to main content
. 2020 Apr 29;2020(4):CD011365. doi: 10.1002/14651858.CD011365.pub2

Beriat 2013.

Study characteristics
Methods Non‐blinded, parallel‐group randomised controlled surgical trial with 1‐year duration of follow‐up
Participants Setting: Bulanik State Hospital, Turkey
Sample size:
  • Number randomised: 82 children

  • Number completed: 82 children


Participant (baseline) characteristics:
  • Age: 4 to 12 years

  • Gender: 56% boys, 44% girls


Inclusion criteria: children who suffer from snoring, evidenced apnoea, sleeping with mouth open. Diagnosis was "obstructed airway" according to tonsil hypertrophy based upon the information given by parents and clinical inspection.
Exclusion criteria: children with successive streptococcal tonsillitis attack more than 3 times within 2 years; peritonsillar abscess history; chronic infected tonsillitis during consultation (upon pressure, tonsils generates pus); obese children who possibly have complex obstructive sleep apnoea syndrome; craniofacial abnormalities and coagulopathy
Interventions Intervention group: tonsillectomy by conventional cold steel dissection (TE) (n = 45)
Comparator group: intracapsular tonsillotomy (TT) using microdebrider (n = 37)
Use of additional interventions: none stated
Outcomes Short‐term outcomes (2 weeks): intraoperative blood loss, operation time, postoperative pain, analgesic use, otalgia, sore throat, transition to painless oral nutrition
Long‐term outcomes (1 year): throat infections
Notes Participants lost to short‐term follow‐up total: 0%
Participants lost to long‐term follow‐up total: 0%
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "Through random selection"; no further information provided
Allocation concealment (selection bias) Unclear risk Quote: "Through random selection"; no further information provided
Blinding of participants and personnel (performance bias)
All outcomes High risk Not blinded
Blinding of outcome assessment (detection bias)
All outcomes High risk Not blinded
Incomplete outcome data (attrition bias)
All outcomes Unclear risk No loss to follow‐up in short term; not stated for long term
Selective reporting (reporting bias) Unclear risk No protocol available; insufficient information to permit a judgement of low or high risk
Other bias Unclear risk Baseline characteristics: balanced
ITT analysis: performed
Formal sample size calculations: not performed
Use of co‐interventions: not performed