Endoscopic coblation adenoidectomy and conventional adenoidectomy: a comparative study
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20232519Keywords:
Conventional adenoidectomy, Endoscopic coblation adenoidectomy, Intraoperative bleeding, Post-operative pain, Operative time, VASAbstract
Background: Adenoidectomy is most common paediatric surgical procedures. Commonly used methods for adenoidectomy are conventional curettage adenoidectomy and endoscopic coblator assisted adenoidectomy. The technique of coblation adenoidectomy has considerable influence on the duration of surgery, the blood lost intra operatively, pain on the first postoperative period.
Methods: Sample selected for study were children of age group 3 to 11 years attending ENT OPD with clinical signs of adenoid hypertrophy, who underwent adenoidectomy during the time period from October 2019 to June 2021. We compared the efficacy of ECA with CCA based on the intra-operative (operative time and bleeding) and post-operative parameters (pain on the first post operative day).
Results: Our study revealed that intra operative bleeding was more in CCA compared to ECA (p<0.001). ECA took more operative time than CCA group (p<0.001). Pain on the first post-operative day was more in CCA than ECA.
Conclusions: Primary objective was comparison of intra operative bleeding among both groups and the outcome was blood loss in ECA was less than CCA. Secondary objective was comparison of operative duration and pain on the first post-operative day and the outcome was, operative duration was less in CCA and pain in the first post-operative day was more in CCA. Our conclusion is that ECA was efficient on the basis of intra operative blood loss and post- operative pain in the first day. CCA was effective in operative duration.
Metrics
References
Dhingra PL, Dhingra S. Diseases of Ear, Nose and Throat. 6th ed. USA: Elsevier; 2014:239-45.
Brown OE, Manning SC, Ridenour B. Cor pulmonale secondary to tonsillar and adenoidal hypertrophy: management considerations. Int J Pediatr Otorhinolaryngol. 1988;16(2):131-9.
Robb PJ. Scott-Brown’s Otorhinolaryngology: Head and Neck Surgery. 8th ed. USA: CRC Press; 2018:2; 285-92.
Bijur PE, Silver W, Gallagher EJ. Reliability of the visual analog scale for measurement of acute pain. Acad Emerg Med. 2001;8(12):1153-7.
Bidaye R, Vaid N, Desarda K. Comparative analysis of conventional cold curettage versus endoscopic assisted coblation adenoidectomy. J Laryngol Otol. 2019; 133(4):294-9.
Özkiriş M, Karaçavuş S, Kapusuz Z, Saydam L. Comparison of two different adenoidectomy techniques with special emphasize on postoperative nasal mucociliary clearance rates: coblation technique vs. cold curettage. Int J Pediatr Otorhinolaryngol. 2013;77(3):389-93.
Paramasivan VK, Arumugam SV, Kameswaran M. Randomised comparative study of adenotonsillectomy by conventional and coblation method for children with obstructive sleep apnoea. Int J Pediatr Otorhinolaryngol. 2012;76(6):816-21.
El Tahan AER, Elzayat S, Hegazy H. Adenoidectomy: comparison between the conventional curettage technique and the coblation technique in pediatric patients. Egypt J Otolaryngol. 2016;32(3):152-5.
Gülşen S, Çikrikçi S. Comparison of Endoscope-Assisted Coblation Adenoidectomy to Conventional Curettage Adenoidectomy in Terms of Postoperative Eustachian Tube Function. J Craniofac Surg. 2020; 31(4):919-23.
Ferreira MS, Mangussi-Gomes J, 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.
Datta R, Singh VP. Conventional versus endoscopic powered adenoidectomy: a comparative study. Med J Armed Forces India. 2009;65(4):308-12.
Chauhan VM, Patel KB, Vishwakarma R. Plasma Dissection Versus Tissue Dissection in Adenoid Surgery. Indian J Otolaryngol Head Neck Surg Off Publ Assoc Otolaryngol India. 2020;72(2):156-9.
Businco LDR, Angelone AM, Mattei A, Ventura L, Lauriello M. Paediatric adenoidectomy: endoscopic coblation technique compared to cold curettage. Acta Otorhinolaryngol Ital. 2012;32(2):124.
