Comparison of microdebrider assisted adenoidectomy and adenoid curette adenoidectomy

Authors

  • Shaweta . Department of Otolaryngology Head and Neck Surgery, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India
  • Ramesh K. Azad Department of Otolaryngology Head and Neck Surgery, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India
  • R. S. Minhas Department of Otolaryngology Head and Neck Surgery, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India
  • Shobha Mohindroo Department of Pathology, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20181669

Keywords:

Microdebrider, Adenoidectomy, Intra-operative, Microdebrider-assisted

Abstract

Background: Adenoidectomy is the surgical procedure to remove the adenoids. It is conventionally performed using the curettage method. The aim is to compare between adenoid curette adenoidectomy and microdebrider assisted adenoidectomy.

Methods: From April 2016 to March 2017, 50 patients (34 males and 16 females), requiring adenoidectomy were randomized into two groups each of twenty five. Group A underwent microdebrider assisted adenoidectomy. Group B underwent conventional adenoidectomy using the curettage method. The parameters studied were intra-operative time, blood loss, residual tissue, associated trauma, and post-operative symptomatic relief and complications.  

Results: Microdebrider assisted adenoidectomy was significantly better in terms of residual tissue left behind as compared to adenoid curette adenoidectomy (p<0.001), similar operative blood loss and operative time with no difference in complications.

Conclusions: Microdebrider-assisted adenoidectomy is a safe and effective alternative to curettage method as it allows complete removal of adenoid tissue under direct vision.

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References

Somani SS, Naik CS, Bangad SV. Endoscopic Adenoidectomy with Microdebrider. Indian J Otolaryngol Head Neck Surg. 2010;62(4):427–31.

Gangadhara Somayaji KS, Rajeshwari A, Jain M. Significance of Adenoid Nasopharyngeal Ratio in the Assessment of Adenoid Hypertrophy in Children. Res Otolaryngol. 2012;1(1):1-5.

Basista H, Saxena G, Modwal A, Prasad B. Endoscopic Adenoidectomy with Microdebrider. Sch J App Med Sci. 2015;3(5B):1906-9.

Tahan AER, Elzayat S, Hegazy H. Adenoidectomy: comparison between the conventional curettage technique and the coblation technique in pediatric patients. Egyptian J Otolaryngol. 2016;32:152–5.

Anand V, Sarin V, Singh B. Changing Trends in Adenoidectomy. Indian J Otolaryngol Head Neck Surg. 2014 ;66(4):375–80.

Basista H, Saxena G, Modwal A, Prasad B. Endoscopic Adenoidectomy with Microdebrider. Sch J App Med Sci. 2015;3(5):1906-9.

Stanislaw P, Koltai PJ, Feustel PJ. Comparison of power assisted adenoidectomy and vs adenoid curette adenoidectomy. Arch Otolaryngol Head Neck Surg. 2000;126:845-9.

Datta CR, Singh VP, Deshpal. Conventional Versus Endoscopic Powered Adenoidectomy: A Comparative Study. MJAFI. 2009;65:308-12

Costantini F, Salamanca F, Amaina T, Zibordi F. Videoendoscopic adenoidectomy with micro-debrider. ACTA Otorhinolaryngologica Italica I. 2008;28:26-9.

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Published

2018-04-26

How to Cite

., S., Azad, R. K., Minhas, R. S., & Mohindroo, S. (2018). Comparison of microdebrider assisted adenoidectomy and adenoid curette adenoidectomy. International Journal of Otorhinolaryngology and Head and Neck Surgery, 4(3), 819–822. https://doi.org/10.18203/issn.2454-5929.ijohns20181669

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Original Research Articles