Role of coblation in reducing pain and morbidity of adenoidectomy

Authors

  • George Thomas Department of ENT, Believers Medical College Hospital, Thiruvalla, Kerala, India
  • Jathin Sam Thekkethil Department of ENT, Believers Medical College Hospital, Thiruvalla, Kerala, India
  • Sumin Mariyam Thomas Department of ENT, Believers Medical College Hospital, Thiruvalla, Kerala, India
  • Shary Ramesh Intern, Sree Krishna College of Pharmacy and Research Centre, Parassala, Tamil Nadu, India
  • Ann Mariam Varghese Intern, Sree Krishna College of Pharmacy and Research Centre, Parassala, Tamil Nadu, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20195701

Keywords:

Adenoidectomy, Coblation, Obstructive sleep apnoea, Paediatric sleep apnoea

Abstract

Background: Adenoidectomy is one of the most commonly performed paediatric surgical procedure by otorhinolaryngologists. Over the past few decades, adenoidectomy has evolved and different techniques have been proposed to reduce morbidity and surgical risk. Controlled ablation or Coblation® is capable of low temperature molecular disintegration within soft tissue causing its dissolution. In this study, we report our experience of adenoidectomy using Coblation®, and its role in reducing pain, morbidity and its significant outcomes are discussed.

Methods: A total number of 25 children aged 3-15 years, who underwent coblation adenoidectomy between March 2017 and April 2018 were included in this study.

Results: The mean age was 7.8 years (males 7.79 years and females 7.81 years). Pre operatively 100% patients had sleep disturbance and after coblation adenoidectomy only 12% patients have disturbed sleep and the rest 88% patients have comfortable sleep. 80% patients did not have pain in immediate post-operative period and 88% had no pain when they visited hospital for first review. 76% patients had less than one day of hospital stay and 24% patients had more than one day of hospital stay. 68% patients had no episode of upper respiratory tract infection (URTI) within the first one year after surgery.

Conclusions: Over the years, many different adenoidectomy techniques have evolved and is surgeon specific or centre specific. Endoscopic-assisted coblation adenoidectomy is a safe and effective method of adenoidectomy.

 

Author Biography

Jathin Sam Thekkethil, Department of ENT, Believers Medical College Hospital, Thiruvalla, Kerala, India

Assistant Professor, Department of Otorhinolaryngology

References

Mitchell RB, Garetz S, Moore RH, Rosen CL, Marcus CL, Katz ES, et al. The use of clinical parameters to predict obstructive sleep apnea syndrome severity in children: The Childhood Adenotonsillectomy (CHAT) study randomized clinical trial. JAMA Otolaryngol Head Neck Surg. 2015;141(2):130-6.

Ark N, Kurtaran H, Ugur KS, Yilmaz T, Ozboduroglu AA, Mutlu C. Comparison of adenoidectomy methods: examining with digital palpation vs. visualizing the placement of the curette. Int J Pediatr Otorhinolaryngol. 2010;74(6):649-51.

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):398-99.

Elluru RG, Johnson L, Myer CM. Electrocautery adenoidectomy compared with curettage and power-assisted methods. Laryngoscope. 2002;112(8 Pt 2 Suppl 100):23-5.

Belov SV. Use of high-frequency cold plasma ablation technology for electrosurgery with minimized invasiveness. Biomed Eng. 2004;38(2):80-5.

Franco RA, Ronsenfeld RM, Rao M. First place- resident clinical science award 1999. Quality of life for children obstructive sleep apnea. Otolaryngol Head Neck Surg. 2000;123(1 pt.1):9-16.

Dhanasekar G, Liapi A, Turner N. Adenoidectomy techniques: UK survey. J Laryngol Otol. 2010;124(2):199-203.

Bradoo RA, Modi RR, Joshi AA, Wahane V. Comparison of endoscopic assisted adenoidectomy with conventional method. Clin Rhinol Int J. 2011;4(2):75-8.

Pagella F, Matti E, Colombo A, Giourgos G, Mira E. How we do it: a combined method of traditional curette and power-assisted endoscopic adenoidectomy. Acta Oto-Laryngol. 2009;129(5):556-9.

Chinawa JM, Akpeh JO, Chinawa AT. Clinical profile and pattern of adenoids hypertrophy among children attending a private hospital in Enugu, South East Nigeria. The Pan African Med J. 2015;21:191.

Ferreira MS, Gomes JM, Ximendes R, Evangelista AR, Miranda EL, Garcia LB, et al. Comparison of three different adenoidectomy techniques in children - has the conventional technique been surpassed. Int J Pediatr Otorhinolaryngol. 2018;104:145-9.

Businco LD, Angelone AM, Mattei A, Ventura L, Lauriello M. PaediatricAdenoidectomy: endoscopic coblation technique to cold curettage. Acta Otorhinolaryngol Ital. 2012;32(2):124-9.

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Published

2019-12-23

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Original Research Articles