Comparison between curettage adenoidectomy and endoscopic-assisted microdebrider adenoidectomy in terms of Eustachian tube dysfunction

Atilla, Mahmut Huntürk; Kaytez, Selda Kargin; Kesici, Gülin Gökçen; Baştimur, Sibel; Tuncer, Sebahattin

doi:10.1016/j.bjorl.2018.08.004

Cited by 10 publications

(8 citation statements)

References 19 publications

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“… 11 , 12 This procedure may also damage the posterior edge of the nasal septum and mucous membrane of the choanae, resulting in adhesion formation and even increasing the probability of choanal atresia. 13 , 14 The results of this study showed that in coblation under nasal endoscopy, the anatomical relations could be identified clearly, the operation time was short, and the blood loss was low which was consistent with the findings of other studies from China that showed that there was no or minimal bleeding at the coblation incision site, the postoperative recovery was quick, and the recurrence rate was low. 6 …”

Section: Discussionsupporting

confidence: 90%

“…11,12 This procedure may also damage the posterior edge of the nasal septum and mucous membrane of the choanae, resulting in adhesion formation and even increasing the probability of choanal atresia. 13,14 The results of this study showed that in coblation under nasal endoscopy, the anatomical relations could be identified clearly, the operation time was short, and the blood loss was low which was consistent with the findings of other studies from China that showed that there was no or minimal bleeding at the coblation incision site, the postoperative recovery was quick, and the recurrence rate was low. 6 We compared the incidence of postoperative adverse events such as halitosis, neck pain, and fever between the two approaches of adenoidectomy, and found that this incidence was significantly higher after coblation than after microdebrider.…”

Section: At Present Adenoidectomy For Children In Shengjing Hospital ...supporting

confidence: 90%

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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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Section: Discussionsupporting

confidence: 90%

“…11,12 This procedure may also damage the posterior edge of the nasal septum and mucous membrane of the choanae, resulting in adhesion formation and even increasing the probability of choanal atresia. 13,14 The results of this study showed that in coblation under nasal endoscopy, the anatomical relations could be identified clearly, the operation time was short, and the blood loss was low which was consistent with the findings of other studies from China that showed that there was no or minimal bleeding at the coblation incision site, the postoperative recovery was quick, and the recurrence rate was low. 6 We compared the incidence of postoperative adverse events such as halitosis, neck pain, and fever between the two approaches of adenoidectomy, and found that this incidence was significantly higher after coblation than after microdebrider.…”

Section: At Present Adenoidectomy For Children In Shengjing Hospital ...supporting

confidence: 90%

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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“…In the current study, there was no significant difference between both groups regarding age and gender with slightly male predominance. This came in agreement with Wadia and Dabholkar (5) , Atilla et al (6) , Singh et al (7) , Juneja et al (8) who found that there was no statistical difference between the groups regarding age or sex (baseline characteristics). Adenoid hypertrophy is common in children.…”

Section: Discussionsupporting

confidence: 90%

Comparison between Endoscopic Microdebrider Adenoidectomy and Conventional Curettage Method

Yadam¹,

El-Bahrawy²,

Mohammed³

2021

The Egyptian Journal of Hospital Medicine

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Background: Adenoidectomy is a surgical removal of hypertrophic nasopharyngeal lymphoid tissue forming a part of the Waldeyer's ring. Adenoid hypertrophy causes nasal obstruction and airway problems such as snoring, obstructive sleep apnea, recurrent sinusitis, and/or Eustachian tube dysfunction. These complications frequently lead to a need for adenoidectomy. Objective: To compare between cold curettage and endoscopic assisted powered technique as regard operative time, blood loss, postoperative complications. Patients and Methods: This prospective study included 18 patients, both genders, all suffering from hypertrophied adenoid tissue, presented clinically with mouth breathing, snoring, bilateral nasal obstruction and/or discharge and evidenced radiologically with plain X-ray film lateral view to the nasopharynx. All cases presented to ENT Department Zagazag University, during the period from July 2019 to July 2021, seeking for management of their problem. Patients were divided into two groups (9 patients each); Group I: In which patients were undergone conventional adenoidectomy with adenoid curette. Group II: Patients were undergone endoscopic assisted powered adenoidectomy. Results: Conventional curettage method of adenoidectomy group was associated with more operative bleeding than endoscopic assisted powered adenoidectomy group, but there was no significant difference. Nasal packing of conventional curettage method of adenoidectomy group was distributed as following; one patient (11.1%) required mild packing, 3 patients (33.3%) required moderate packing. While in endoscopic assisted powered adenoidectomy group, one (11.1%) required moderate packing. Conclusions: Endoscope assisted powered adenoidectomy needs to be acknowledged as a safe alternative to conventional adenoidectomy.

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“…The bleeding is usually related to adenoid remnants that could be missed during blind adenoidectomy [6]. Also, blind removal of the adenoid tissue may carry the risk of Eustachian tube injury that could be caused by application of curette on the tubal orifice [7,8]. As our institutional method for adenoid removal is the conventional curettage adenoidectomy (CCA) technique, we aimed in this study to evaluate the benefits of trans-oral endoscopic look of the nasopharynx at the end of the procedure.…”

Section: Introductionmentioning

confidence: 99%

The benefits of endoscopic look after curettage adenoidectomy

Abdel‐Aziz

Nassar

Nashed

et al. 2020

Egypt J Otolaryngol

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Background Conventional curettage adenoidectomy (CCA) has a risk of incomplete removal of all adenoid tissue, and digital nasopharyngeal palpation is not enough to assess adenoid removal. The aim of this study was to evaluate the benefits of trans-oral endoscopic look of the nasopharynx (ELN) after CCA. Results This prospective study included 1900 children with adenoid hypertrophy. CCA was used for treatment, followed by ELN. Bleeding points and/or adenoid tissue remnants were recorded and managed. One year postoperatively, nasal endoscopy was performed to detect adenoid regrowth. ELN showed bleeding points in 17 patients (0.9%) and residual adenoid tissue remnants in 855 patients (45%). Intraoperatively, the lesions were cauterized and ablated under visualization. However, adenoid regrowths were detected in 263 (42%) out of 627 children (33%) who were subjected to endoscopic examination after 1 year of adenoid removal. Conclusions Trans-oral endoscopic look of the nasopharynx after CCA is a beneficial method in detection of adenoid remnants and bleeding points. Also, it could decrease symptomatic adenoid regrowth postoperatively.

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Comparison between curettage adenoidectomy and endoscopic-assisted microdebrider adenoidectomy in terms of Eustachian tube dysfunction

Cited by 10 publications

References 19 publications

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

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

Comparison between Endoscopic Microdebrider Adenoidectomy and Conventional Curettage Method

The benefits of endoscopic look after curettage adenoidectomy

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