Published: 2019-04-26

Comparison of blood loss in endoscopic powered adenoidectomy and conventional curettage

Nithya Krishnakumar, N. K. Bashir, Girish Raj


Background: Adenoidectomy is one of the most common surgeries done in children. Over the years many techniques have evolved like powered adenoidectomy, radiofrequency ablation, electro cautery etc. Use of endoscopes has enabled surgeons to perform adenoidectomy under direct vision. The objectives of the study were to compare blood loss of conventional and endoscopic assisted powered adenoidectomy.

Methods: In this a prospective observational study of 30 children attending ENT department in MES Medical College was done. In the conventional technique, adenoidectomy was done using St Claire Thomson adenoid curette. In powered adenoidectomy technique, micro debrider was used under guidance of 00 nasal endoscope (2.7 mm). Intra operatively blood loss during surgery were looked for and noted in both groups.  

Results: In the study of 30 children divided in to 2 groups who are comparable statistically. Average blood loss in patients who underwent CA was 38.53 ml and in patients who underwent EAA was 28.27 ml, with standard deviation of 4.704 and 3.863 respectively. The difference in mean blood loss was 10.26 ml.

Conclusions: Endoscopic assisted powered adenoidectomy has lower blood loss as compared to conventional adenoidectomy.


Adenoidectomy, Powered adenoidectomy, Endoscopic adenoidectomy

Full Text:



Modrzynski M, Zawisza E. An analysis of the incidence of adenoid hypertrophy in allergic children. Int J Pediatr Otorhinolaryngol. 2007;71(5):713-9.

Friday JG, Paradise JL, Rabin BS, Colborn DK, Taylor FH. Serum immunoglobulin changes in relation to tonsil and adenoid surgery. Ann Allergy. 1992;69(3):225-30.

Cannon CR, Replogle WH, Schenk MP. Endoscopic assisted adenoidectomy. Otolaryngological Head Neck Surg. 1999;121:740-4.

Bradoo RA, Modi RR, Joshi AA, Wahane V. Comparison of Endoscopic-Assisted Adenoid-ectomy with Conventional Method. An Int J Clin Rhinol. 2011;4(2):75-8.

Murray N, Fitzpatrick P, Guarisco JL. Powered partial adenoidectomy. Arch Otolaryngol Head Neck Surg. 2002;128(7):792-6.

Timms MS, Ghosh S, Roper A. Adenoidectomy with the coblator: a logical extension of radiofrequency tonsillectomy. J Laryngol Otol. 2005;119(5):398-9.

Feng Y, Yin S. Comparison of the powered-assisted adenoidectomy with adenoid currette adenoid-ectomy. Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2006;20:54-7.

Stanislaw P, Koltai PJ, Feustel PJ. Comparison of power assisted adenoidectomy vs adenoid curette adenoidectomy. Arch Otolaryngol Head Neck Surg 2000;126:845-9.

Datta R, Singh VP, Deshpal. Conventional versus endoscopic adenoidectomy: a comparative study. Med J Armed Forces India. 2009;65:308-312.

Tomkinson A, Harrison W, Owens D, Fishpool S, Temple M. Postoperative haemorrhage following adenoidectomy. Laryngoscope. 2012;122(6):1246-53.