Efficacy of power assisted microdebrider in endoscopic adenoid resection


  • Tanishka Bakshi Department of ENT, Ashwini Rural Medical College, Solapur, Maharashtra, India
  • Prasad Kelkar Department of ENT, Ashwini Rural Medical College, Solapur, Maharashtra, India
  • Saket Toshniwal Department of General Medicine, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, India




Adenoid hypertrophy, Adenoid resection, Microdebrider, Nasal obstruction, Snoring, Mouth breathing


Background: Nasal obstruction, snoring, mouth breathing, ear ache is some of the most common problems encountered in pediatric otorhinolaryngological practice. The most common cause for the above symptoms is adenoid hypertrophy.

Methods: Patients with age group of 4-16 years with symptoms of adenoid hypertrophy such as snoring, mouth breathing, ear ache and adenoid hypertrophy confirmed by Diagnostic Nasal Endoscopy and Radiological Investigations were included. Previous H/o surgery for adenoidectomy, bleeding disorders, cases with cleft palate or previous H/o cleft palate repair neuromuscular / craniofacial anomalies were excluded.  

Results: 3.10 mean grade was seen among study participants, with 39% of children having Grade 4 adenoids, 35% having Grade 3 adenoids, and 26% having Grade 2 adenoids. Snoring, nasal obstruction, and breathing scores all decreased statistically significantly.

Conclusions: A microdebrider-assisted adenoidectomy has shown to provide full clearance with only a minor increase in haemorrhage and process time.


Meyer TA. Meyer and the adenoids. Arch Otolaryngol. 1969;90(3):383-6.

Tankel JW, Cheesman AD. Symptom relief by adenoidectomy and relationship to adenoid and post-nasal airway size. The Journal of Laryngology & Otology. 1986;100(6):637-40.

Emerick KS, Cunningham MJ. Tubal tonsil hypertrophy: a cause of recurrent symptoms after adenoidectomy. Archives of Otolaryngology–Head & Neck Surgery. 2006;132(2):153-6.

Sharma K, Bhattacharjya D, Barman H, Goswami SC. Common ear, nose and throat problems in pediatric age group presenting to the emergency clinic-prevalence and management: A hospital-based study. Indian J Clin Pract. 2014;24(8):756-60.

Karanov J, Minić P, Subarević V, Baljosević I. Cor pulmonale caused by hypertrophic adenoid glands and tonsils: indications for tonsillectomy and adenoidectomy in a 2-year-old child. Srpski Arhiv za Celokupno Lekarstvo. 2000;128(5-6):208-10.

Tos M. Manual of Middle Ear Surgery: Surgery of the External Auditory Canal. Thieme Medical Publishers; 1997.

Tarantino V, D’Agostino R, Melagrana A, Porcu A, Stura M, Vallarino R, Calevo MG. Safety of electronic molecular resonance adenoidectomy. International journal of pediatric otorhinolaryngology. 2004;68(12):1519-23.

Murray N, Fitzpatrick P, Guarisco JL. Powered partial adenoidectomy. Archives of Otolaryngology–Head & Neck Surgery. 2002;128(7):792-6.

Wong L, Moxham JP, Ludemann JP. Electrosurgical adenoid ablation. Journal of otolaryngology. 2004;33(2).

Havas T, Lowinger D. Obstructive adenoid tissue: an indication for powered-shaver adenoidectomy. Archives of Otolaryngology–Head & Neck Surgery. 2002;128(7):789-91.

Stanislaw P, Koltai PJ, Feustel PJ. Comparison of power-assisted adenoidectomy vs adenoid curette adenoidectomy. Archives of Otolaryngology–Head & Neck Surgery. 2000;126(7):845-9.

Harugop AS, Soni S, Tejaswini JS. Efficacy and Safety of Microdebrider Assisted Adenoidectomy over Conventional Adenoidectomy. Bengal Journal of Otolaryngology and Head Neck Surgery. 2020;28(1):59-66.

Das AT, Prakash SB, Priyadarshini V. Combined conventional and endoscopic microdebrider-assisted adenoidectomy: a tertiary centre experience. Journal of Clinical and Diagnostic Research: JCDR. 2017;11(2):MC05.

Yanagisawa E, Weaver EM. Endoscopic adenoidectomy with the microdebrider. Ear, Nose & Throat Journal. 1997;76(2):72-4.






Original Research Articles