Comparative analysis of conventional cold curettage versus endoscopic assisted coblation adenoidectomy

Bidaye, Rohan; Vaid, Neelam; Desarda, KK

doi:10.1017/s0022215119000227

Cited by 20 publications

(21 citation statements)

References 29 publications

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“…Twenty studies, including 2329 patients, met the inclusion criteria and were included in the NMA. 9,10,[17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34] These 20 studies showed 4 techniques of adenoidectomy, including PVSA, PFAA, CUA, and SDA. The study selection process is outlined in Figure 1, and the network plot is shown in Figure 2.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…All the included studies were randomized controlled trials, except for 3 observational studies. 18,19,27 Of the included 20 studies, 17 reported operative time 10,17,[19][20][21]23,[25][26][27][28][29][30][31][32][33][34] and 12 recorded intraoperative blood loss. [17][18][19][20]24,25,28,29,[31][32][33][34] Five studies recorded postoperative pain scores, 24,29,31,33,34 5 reported the incidence of postoperative residual tissue.…”

Section: Study Characteristicsmentioning

confidence: 99%

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Comparison Between Different Approaches Applied in Pediatric Adenoidectomy: A Network Meta-Analysis

Sun

Yuan

Kong

2022

Ann Otol Rhinol Laryngol

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Objective: Adenoidectomy is a surgical procedure most frequently performed by otolaryngologists. However, there are no universally accepted guidelines for the choice of the surgical approach in specific circumstances. Therefore, a network meta-analysis (NMA) is needed to summarize existing studies and provide more evidence-based medical guidelines. Methods: A systematic search of the literature was conducted in the Cochrane Central Register of Controlled Trials, PubMed, and EMBASE databases from inception to 31 July 2021. A network meta-analysis of operating time, intraoperative blood loss, postoperative pain score, and incidence of postoperative residual tissue was performed. Results: A total of 20 studies with 2329 patients were included. Four common surgical approaches, including powered vacuum shaver adenoidectomy (PVSA), plasma field ablation adenoidectomy (PFAA), curettage adenoidectomy (CUA), and suction diathermy adenoidectomy (SDA), were compared for operative time, intraoperative blood loss, postoperative pain score, and incidence of postoperative residual tissue. There were no significant differences between the surgical techniques for the 3 endpoints, operative time, intraoperative blood loss, and incidence of postoperative residual tissue. The data showed lower postoperative pain scores for PFAA than for CUA (MD = −3.45, 95% CI [−6.01, −0.95]). There were no significant differences in other surgical approaches for postoperative pain scores. Conclusion: There were no significant differences between PVSA, PFAA, CUA, and SDA for operative time, intraoperative blood loss, and incidence of postoperative residual tissue. PFAA had advantages over CUA for postoperative pain scores.

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Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Comparison Between Different Approaches Applied in Pediatric Adenoidectomy: A Network Meta-Analysis

Sun

Yuan

Kong

2022

Ann Otol Rhinol Laryngol

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“…By comparing the adverse events of these two surgical procedures, we can conclude that the anatomical layers could be clearly visualized under nasal endoscopy. Coblation also caused lesser blood loss and was associated with a shorter operation time, while there was no significant difference in the incidence of postoperative primary or secondary hemorrhage between the two procedures 20–22 . Although the difference in blood loss is statistically significant, it is not clinically significant.…”

Section: Discussionmentioning

confidence: 86%

“…Coblation also caused lesser blood loss and was associated with a shorter operation time, while there was no significant difference in the incidence of postoperative primary or secondary hemorrhage between the two procedures. 20 , 21 , 22 Although the difference in blood loss is statistically significant, it is not clinically significant. Moreover, there is no doubt that plasma adenoid ablation is indeed a step forward in the direction of reducing bleeding, and it is worth considering how to reduce intraoperative bleeding to a greater extent in the future, or even achieve no bleeding.…”

Section: Discussionmentioning

confidence: 97%

Adverse events of coblation or microdebrider in pediatric adenoidectomy: A retrospective analysis in 468 patients

Liu

Sun

et al. 2022

Laryngoscope Investig Oto

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Objective: Childhood obstructive sleep apnea hypopnea syndrome (OSAHS) is a common clinical disease that can cause serious complications if not treated in time.Adenoidectomy with or without tonsillectomy is the most important first line surgical treatment of obstructive sleep apnea in children. The aim of this study was to compare the differences between these two surgical procedures for adenoidectomy in terms of operation time, intraoperative blood loss, proportion of patients experiencing postoperative delayed hemorrhage, and incidence of adverse events.Study Design: Retrospective analysis.Methods: We performed a retrospective systematic analysis of patient data using the in-house electronic patient records and considered a 2-year period from 2016 to 2017. In total, 468 patients who underwent adenoidectomy under nasal endoscopy with coblation or microdebrider were identified. Results:The coblation adenoidectomy technique was associated with significantly reduced blood loss and operation time. However, incidence of fever, neck pain, and halitosis were significantly lower in the microdebrider adenoidectomy group (p < .01).The difference in the postoperative primary and secondary hemorrhage between the two groups was not statistically significant (p > .05). Conclusion:Coblation adenoidectomy had a significantly higher incidence of adverse events such as halitosis, neck pain, and fever. Therefore, otorhinolaryngologists should consider the differences in adverse events when selecting use of coblation adenoidectomy for pediatric patients.

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“…When compared with coblation and microdebrider, suction diathermy is less expensive. 5,13,14 The diathermy wand can be connected to any cautery machine in the operating room which makes it a cost effective technique. In a country where cost is an overriding concern, suction diathermy adenoidectomy is a very good alternative with excellent results and can be performed safely in secondary or tertiary care centres.…”

Section: Discussionmentioning

confidence: 99%

Suction diathermy adenoidectomy: audit of current practice in a tertiary care hospital

Venkataramani¹,

Sachidananda²,

Dachuri³

et al. 2019

Int J Otorhinolaryngol Head Neck Surg

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Background: Adenoidectomy is conventionally performed using adenoid curette as a blind procedure. Suction diathermy adenoidectomy is a technique of ablating the adenoid tissue using thermal energy and removing it by suction. This audit aims to study the efficacy and complications of this technique in a tertiary care center.Methods: Retrospective analysis of hospital database was conducted. Twenty-seven patients who underwent suction diathermy adenoidectomy were identified and hospital records studied. Parents were contacted and enquired regarding improvement in child's symptoms.Results: No instances of postoperative complications identified. All except 2 parents were completely satisfied with the improvement in their child's symptoms. Two children had occasional mouth breathing.Conclusions: Suction diathermy adenoidectomy is a feasible alternative to conventional adenoidectomy with few complications and minimal rate of recurrence.

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Comparative analysis of conventional cold curettage versus endoscopic assisted coblation adenoidectomy

Cited by 20 publications

References 29 publications

Comparison Between Different Approaches Applied in Pediatric Adenoidectomy: A Network Meta-Analysis

Comparison Between Different Approaches Applied in Pediatric Adenoidectomy: A Network Meta-Analysis

Adverse events of coblation or microdebrider in pediatric adenoidectomy: A retrospective analysis in 468 patients

Suction diathermy adenoidectomy: audit of current practice in a tertiary care hospital

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