ObjectiveTo compare conventional cold curettage adenoidectomy with endoscopic assisted coblation adenoidectomy in terms of operative time, primary blood loss, post-operative residual tissue and post-operative pain.MethodsThis prospective non-randomised study was carried out on 60 patients aged 5–12 years. One group underwent conventional cold curettage adenoidectomy and the other underwent endoscopic assisted coblation adenoidectomy, with 30 patients per group.ResultsMean operation duration was significantly higher for endoscopic assisted coblation adenoidectomy. Mean blood loss was 44.33 ml in conventional cold curettage adenoidectomy and 32.47 ml in endoscopic assisted coblation adenoidectomy. The pain grade was significantly lower in endoscopic assisted coblation adenoidectomy. Forty per cent of patients who underwent conventional cold curettage adenoidectomy had adenoid tissue post-surgery, while it was completely absent in endoscopic assisted coblation adenoidectomy patients.ConclusionCoblation adenoidectomy has significant advantages over conventional adenoidectomy in terms of reduced blood loss, no post-operative residual tissue and lower pain grade on day 1 after surgery.

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Key WordsNasopharyngeal Angiofibroma, pre-operative embolization. MATERIALS AND METHODSNine cases of proved nasopharyngeal angiofibroma after clinical evaluation, imaging and angiography, were subjected for the surgical resection.First four cases of Stage I and II were approached by transpalatal route and whole tumour mass with pedicle attached at the nasopharynx was excised. These cases which did not undergo embolization and the total blood loss of 10-12 units was quite significant intra-operatively.The second group of three cases of stage II B and C were subjected for surgical clearance by lateral rhinotomy and transpalatal approach. The whole mass could be removed. The preoperative embolization reduced intra operative blood loss considerably to 2 units only post operative recovery was uneventful. The third group of Fig-I C. T. 5can ~f patient with An qiofibrtmla

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