Suction diathermy adenoidectomy: audit of current practice in a tertiary care hospital

Nithya Venkataramani; Ravi Sachidananda; Sandeep Dachuri; Srividya Rao Vasishta

doi:10.18203/issn.2454-5929.ijohns20194935

Authors

Nithya Venkataramani Department of ENT, Head and Neck Surgery, People Tree Hospital, Bangalore, Karnataka, India
Ravi Sachidananda Department of ENT, Head and Neck Surgery, People Tree Hospital, Bangalore, Karnataka, India
Sandeep Dachuri Dr. Rudrappa’s ENT Hospital, Bangalore, Karnataka, India
Srividya Rao Vasishta Department of Advanced centre for Dentistry, People Tree Hospital, Bangalore, Karnataka, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20194935

Keywords:

Suction diathermy, Adenoidectomy, Coblation

Abstract

Background: Adenoidectomy is conventionally performed using adenoid curette as a blind procedure. Suction diathermy adenoidectomy is a technique of ablating the adenoid tissue using thermal energy and removing it by suction. This audit aims to study the efficacy and complications of this technique in a tertiary care center.

Methods: Retrospective analysis of hospital database was conducted. Twenty-seven patients who underwent suction diathermy adenoidectomy were identified and hospital records studied. Parents were contacted and enquired regarding improvement in child's symptoms.

Results: No instances of postoperative complications identified. All except 2 parents were completely satisfied with the improvement in their child's symptoms. Two children had occasional mouth breathing.

Conclusions: Suction diathermy adenoidectomy is a feasible alternative to conventional adenoidectomy with few complications and minimal rate of recurrence.

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References

National Institute for Health and Clinical Excellence. Suction diathermy adenoidectomy. Interventional Procedure Guidance 328. London: NICE; 2009.

Wright ED, Manoukian JJ, Shapiro RS. Ablative adenoidectomy: a new technique using simultaneous liquefaction/aspiration. J Otolaryngol. 1997;26:36-43.

Modayil P, Modayil GO, Pai I, Van Wykk C. Monopolar suction diathermy adenoidectomy: technical note. Indian J Otolaryngol Head Neck Surg. 2011;63(1):99-100.

Wynn R, Rosenfeld RM. Outcomes in suction coagulator adenoidectomy. Arch Otolaryngol Head Neck Surg. 2003;129(2):182-5.

Walker P. Pediatric adenoidectomy under vision using suction-diathermy ablation. Laryngoscope. 2001;111(12):2173-7.

Skilbeck CJ, Tweedie DJ, Lloyd-Thomas AR, Albert DM. Suction diathermy for adenoidectomy: complications and riskof recurrence. Int J Pediatr Otorhinolaryngol. 2007;71:917-20.

Hajr E, Hagr AR, Al-Arfaj A, Ashraf M. Int J Pediatr Otorhinolaryngol. 2011;75(3):327-9.

Henry LR, Gal TJ, Mair EA. Does increased electrocautery during adenoidectomy lead to neck pain? Otolaryngol Head Neck Surg. 2005;133:556-61.

Jonas NE, Sayed R, Prescott CA. Prospective, randomized, single-blind, controlled study to compare two methods of performingadenoidectomy. Int J Pediatr Otorhinolaryngol. 2007;71:1555-62.

Sethi N, Egan P, Ward VMM. Suction diathermy adenoidectomy performed in the district general hospital. J Laryngol Otol. 2014;128:78-81.

Cartwright SJ, Thorne SJ, Okpala E. A novel method of teaching adenoidectomy using suction diathermy. J Laryngol Otol. 2012;126:818-20.

Datta R, Singh VP, Deshpal. Conventional versus endoscopic powered adenoidectomy: a comparative study. Med J Armed Forces India. 2009;65(4):308-12.

Bidaye R, Vaid N, Desarda KJ. Comparative analysis of conventional cold curettage versus endoscopic assisted coblation adenoidectomy. Laryngol Otol. 2019;133(4):294-9.

Elluru RG, Johnson L, Myer CM. Electrocautery adenoidectomy compared with curettage and power-assisted methods. Laryngoscope. 2002;112:23-5.

Sachidananda R. Suction diathermy adenoidectomy (video file). Available at: https://www.youtube.com/ watch?v=zjJw8fBqDN8. Accessed on 2 July 2019.