Efficacy and Safety of Microdebrider Assisted Adenoidectomy over Conventional Adenoidectomy
Article Sidebar
Main Article Content
Abstract
Introduction
Adenoidectomy has conventionally been performed by curetting the adenoid tissue blindly with St. Clair Thompson curette leading to inadequate removal of tissue. Here the use of endoscopic guided adenoidectomy with microdebrider has been employed to compare the two methods.
Materials and Methods
It is a one-year randomized control trial conducted from January 2018 to December 2018. Patients were allocated into 2 groups i.e. conventional adenoidectomy and microdebrider adenoidectomy group. Pre and post-operative endoscopic grading of adenoid was compared and intraoperative blood loss and operative time were studied.
Results
Total 45 patients included 25 in conventional and 20 in microdebrider group. Following adenoidectomy operation the percentage of reduction of adenoid grading in microdebrider group was 63.79 % whereas 30.29% in conventional group, the average time taken by microdebrider assisted surgery was 16.45 mins as compared to 13.28 mins in conventional curettage. The average amount of blood loss in conventional group was 44.76 ml whereas in microdebrider group was 77.30 ml.
Conclusion
Microdebrider assisted adenoidectomy has proven to deliver completeness of clearance at the expense of slight increase in bleeding and the operative time.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
References
Kim JW, Kim HJ, Lee WH, Kim DK, Kim SW, Kim YH, et al. Comparative study for efficacy and safety of adenoidectomy according to the surgical method: A prospective multicenter study. PLoS ONE 2015; 10(8):2-9
Datta R, Singh VP, Deshpal. Conventional versus endoscopic powered adenoidectomy: A comparative study. Med J Armed Forces India. 2009; 65(4):308-12. doi: 10.1016/S0377-1237(09)80089-0
Clemens J, McMurray JS, Willging JP. Electrocautery versus curette adenoidectomy: comparison of postoperative results. Int J Pediatr Otorhinolaryngol. 1998; 43(2):115-22
Algadiem EA, Aleisa AA, Alsubaie HI, Buhlaiqah NR, Algadeeb, Bagir J, et al. Blood Loss Estimation Using Gauze Visual Analogue. Trauma Mon. 2009; 21(2):1-9
Havas T, Lowinger D. Obstructive Adenoid Tissue. Arch Otolaryngol Neck Surg. 2002; 128(7):789
Koltai PJ, Kalathia AS, Stanislaw P, Heras HA. Power-Assisted Adenoidectomy. Arch Otolaryngol Head Neck Surg. 1997; 123(7):685-8. doi: https://doi.org/10.1001/archotol.1997.01900070023004.
Yanagisawa E, Weaver EM. Endoscopic adenoidectomy with the microdebrider. Ear Nose Throat J. 1997; 76(2):72-4
Costantini F, Salamanca F, Amaina T, Zibordi F. Videoendoscopic adenoidectomy with microdebrider. Acta Otorhinolaryngol Ital Organo Uff Della Soc Ital Otorinolaringol E Chir Cerv-facc. 2008; 28(1):26-9
Anand V, Sarin V, Singh B. Changing Trends in Adenoidectomy. Indian J Otolaryngol Head Neck Surg. 2014; 66(4):375-80
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 Otolaryngol (Stockh). 2009; 129(5):556-9
Das AT, Prakash SB, Priyadarshini V. Combined conventional and endoscopic microdebrider-assisted adenoidectomy: A tertiary centre experience. J Clin Diagn Res. 2017; 11(2):MC05-7
Somani SS, Naik CS, Bangad SV. Endoscopic Adenoidectomy with Microdebrider. Indian J Otolaryngol Head Neck Surg. 2010; 62(4):427-31
Stanislaw Jr. P, Feustel PJ, Koltai PJ. Comparison of power-assisted adenoidectomy vs adenoid curette adenoidectomy. Arch Otolaryngol - Head Neck Surg. 2000; 126(7):845-9
Feng Y, Yin S. Comparison of the powered-assisted adenoidectomy with adenoid curette adenoidectomy. Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2006; 20(2):54-7
Abdel-Aziz M. Endoscopic nasopharyngeal exploration at the end of conventional curettage adenoidectomy. Eur Arch Otorhinolaryngol. 2012; 269(3):1037-40.