Comparative Study for Efficacy and Safety of Adenoidectomy according to the Surgical Method: A Prospective Multicenter Study

Kim, Jeong Whun; Kim, Hong Joong; Lee, Woo Hyun; Kim, Dong Kyu; Kim, Sung Wan; Kim, Young Hyo; Nam, Jung Gwon; Park, Seok Won; Park, Chan Soon; Bae, Woo Yong; Yeo, Nam Kyung; Won, Tae Bin; Lee, Jun Young; Lee, Tae Hoon; Lee, Hyoung Joo; Kim, Sang Wook; Jeong, Sung Wook; Choi, Jeong Seok; Han, Doo Hee; Choi, Ji Ho

doi:10.1371/journal.pone.0135304

Cited by 20 publications

(18 citation statements)

References 16 publications

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“…Up till now, doubts remain about which surgical technique is ideal or best suited for performing adenoidectomy. The aim of this study is to evaluate and compare endoscopic assisted suction coagulation adenoidectomy and traditional curettage techniques [9,10].…”

Section: Open Accessmentioning

confidence: 99%

Evaluation of endoscopic assisted suction coagulation adenoidectomy versus traditional curettage technique

Ali

Elsharnouby

Khalil

et al. 2021

Egypt J Otolaryngol

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Background Adenoidal hypertrophy is a common condition in children and can cause symptoms such as mouth breathing, nasal discharge, snoring, sleep apnea, and hyponasal speech. The curettage adenoidectomy has some disadvantages, especially the intranasal extension of the adenoid tissue that makes this technique inadequate. This study is conducted to evaluate and compare between assisted suction coagulation adenoidectomy and traditional curettage techniques. Results One hundred twenty-two patients with symptomatic adenoid hypertrophy such as nasal obstruction, snoring, and mouth breathing were included in our study. Patients underwent adenoidectomy either traditional curettage adenoidectomy (60 patients as group A) or endoscopic assisted suction coagulation adenoidectomy (62 patients as group B). Patients were scheduled for follow-up visits with respect to operative time, operative and postoperative complications. The mean age of groups A and B were 6.57+2.8 and 7+2.8 ranging from 3 to12 years. There was a statistically significant difference between groups as regard intraoperative blood loss, trauma, postoperative complications as neck stiffness and bad odor plus postoperative endoscopic and radiological grading after the operation. Conclusions Suction coagulation diathermy adenoidectomy is alternative to cold adenoidectomy with significantly fewer intraoperative complications such as blood loss and trauma of prevertebral muscle plus post-operative complications such as primary or secondary bleeding and rhinolalia aperta.

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Section: Open Accessmentioning

confidence: 99%

Evaluation of endoscopic assisted suction coagulation adenoidectomy versus traditional curettage technique

Ali

Elsharnouby

Khalil

et al. 2021

Egypt J Otolaryngol

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“…Eine Adenotomie scheint nicht die Verschlussraten nach Myringoplastik oder Tympanoplastik bei Kindern zu verbessern [11,12]. In einer aktuellen großen prospektiven Multicenter-Studie war nach Coblation Adenotomy die Operationszeit kürzer und die Blutungsrate signifikant geringer als nach Power-assisted Adenotomy ohne oder mit Koagulation [13]. Systematische Reviews hatten bislang keine eindeutigen Unterschiede zwischen den verschiedenen Techniken einschließlich klassischer Kürettage feststellen können [14,15].…”

Section: Outcome ▼unclassified

Chirurgie im Rachen – Adenotomie, Tonsillektomie, Tonsillotomie und Eingriffe bei obstruktivem Schlafapnoe-Syndrom

Geißler¹,

Guntinas‐Lichius²

2016

Laryngo-Rhino-Otol

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Surgery in the pharynx belongs to the most frequent otorhinolaryngological procedures. Adenoidectomy and tonsillectomy are amongst the most frequent surgeries at all and belong to the first procedures which are performed by otorhinolaryngology residents during their specialist training. Therefore, it is essential to study early during the specialist training the most frequent pharyngeal procedures, surgical techniques, complications and outcome. A series of excellent clinical trials and meta-analyses have been published in the recent year demonstrating that adenoidectomy is an important therapy element in pediatric otorhinolaryngology. In particular due to the developments in the field of laser surgery, tonsillotomy could experience a revival in the recent years. The indication spectrum is still widening. There are many fields where clinical trials are needed to proof if tonsillotomy is as effective as tonsillectomy but with the advantage of lower morbidity. There are manifold pharyngeal surgical procedures to treat patients with obstructive sleep apnea. These surgical techniques have proved valuable especially as alternative to conservative therapy and in case of treatment failure under airway pressure therapy. As the obstruction during this type of sleep-related respiratory disorder is often not located at one anatomical site, an individual combination of several pharyngeal and other surgeries are needed for an effective treatment of the patient. The present article gives an overview of the most important pharyngeal surgeries for future otorhinolaryngologists under specialist training.

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“…Many studies have evaluated different factors that cause bleeding after AT. These studies focus very often on the values of preoperative coagulation factors, as well as various types of surgical techniques [ 4 , 5 , 6 ]. In our prospective study, we focused on evaluating common factors (based upon an analysis of the literature) [ 7 , 8 , 9 , 10 , 11 , 12 ] and less common factors that may affect the risk of bleeding after AT.…”

Section: Introductionmentioning

confidence: 99%

Risk Factors for Postoperative Bleeding after Adenoidectomy

et al. 2021

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IMPORTANCE: Postoperative bleeding is a common and potentially life-threatening complication. Precise identification of risk factors in addition to the basic ones, such as coagulation parameters, is certainly very desirable. OBJECTIVE: The aim of this study was to identify other possible risk factors for bleeding after adenoidectomy in children. DESIGN: This observational prospective study enrolled children undergoing adenoidectomy from October 2019 to February 2020, then evaluated the influence of possible risk factors for bleeding. SETTING: Tertiary pediatric otorhinolaryngology center. PARTICIPANTS: A total of 288 children aged 0–18 years undergoing adenoidectomy for recurrent upper respiratory tract infections, recurrent acute otitis media, secretory otitis media, and obstructive sleep apnea syndrome. MAIN OUTCOMES AND MEASURES: Increased blood pressure and time of surgery were identified as risk factors for bleeding after adenoidectomy. RESULTS: Elevated systolic (p = 0.046), diastolic (p = 0.012), and mean arterial blood pressure (p = 0.007) (Mann–Whitney U test) as adjusted for age-specific distributions and with corrections for height and weight, as well as time length of surgery (p < 0.001) (Fisher’s exact test) were revealed as statistically significant risk factors for postoperative bleeding. Atmospheric pressure, surgeon’s level of experiences, chronic inflammatory content in adenoid vegetation (AV), size of AV, recidivism of AV, recurrent infections of the upper respiratory tract, type of anesthesia, long-term using of drugs, and positive coagulation questionnaire or pathology in standard coagulation tests were not found to be risk factors for bleeding after adenoidectomy. CONCLUSIONS AND RELEVANCE: In this prospective study within a well-defined population of children, we evaluated increased blood pressure and time of surgery as risk factors for bleeding after adenoidectomy. These data bring new information that complements current knowledge in this field.

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Comparative Study for Efficacy and Safety of Adenoidectomy according to the Surgical Method: A Prospective Multicenter Study

Cited by 20 publications

References 16 publications

Evaluation of endoscopic assisted suction coagulation adenoidectomy versus traditional curettage technique

Evaluation of endoscopic assisted suction coagulation adenoidectomy versus traditional curettage technique

Chirurgie im Rachen – Adenotomie, Tonsillektomie, Tonsillotomie und Eingriffe bei obstruktivem Schlafapnoe-Syndrom

Risk Factors for Postoperative Bleeding after Adenoidectomy

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