Efficacy of power assisted microdebrider in endoscopic adenoid resection

Authors

  • 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

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20231811

Keywords:

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

Abstract

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.

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Published

2023-06-26

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Original Research Articles