Comparison of Power-Assisted Adenoidectomy vs Adenoid Curette Adenoidectomy

Stanislaw, Paul; Koltai, Peter J.; Feustel, Paul J.

doi:10.1001/archotol.126.7.845

Cited by 94 publications

(116 citation statements)

References 2 publications

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“…According to literature, regrowth of this residual lymphoid tissue left as a result of blind removal causes significant recurrence of symptoms [24]. The evidence of residual adenoid tissue post-operatively in group A (by classical curettage technique) is well supported by studies by Stansilaw et al [23], Havas et al [10], Datta et al [7], Ezzat et al [25] and Hussein and Al-Juboori [26] with an incidence of 39, 39, 30,14.5 and 20 % respectively. All these studies strongly mention that presence of significant residual adenoid tissue especially along torus tubaris and intranasal protrusions lead to persistence of the initial symptoms and may necessitate a revision adenoidectomy in future.…”

Section: Number Of Cases Completeness Of Removal On Nasal Endoscopymentioning

confidence: 89%

“…Though statistically significant, the difference was small (\10 ml). In a series by Feng et al [22] and Stanislaw et al [23] however there was a significant reduction in blood loss following endoscopic assisted microdebrider adenoidectomy as compared to conventional adenoidectomy. Post-operative nasal endoscopy has significant role in assessing the completeness of removal of hypertrophied adenoid tissue especially in areas of eustachian tube orifices and intranasal protrusions and assessing the intraoperative trauma caused by the operative technique [12].…”

Section: Number Of Cases Completeness Of Removal On Nasal Endoscopymentioning

confidence: 94%

“…Saxby et al study by Somani et al [12] reported an excellent completeness of removal of adenoid tissue following endoscopic power assisted adenoidectomy. Also Stansilaw et al [23] reported a more complete removal of adenoids with microdebrider.…”

Section: Number Of Cases Completeness Of Removal On Nasal Endoscopymentioning

confidence: 99%

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Changing Trends in Adenoidectomy

Anand

Sarin

Singh

2013

Indian J Otolaryngol Head Neck Surg

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Adenoid hypertrophy treatment is must to alleviate chronic nasal obstruction, mouth breathing, rhinosinusitis and eustachian tube dysfunction. For proper management of this clinical entity a thorough clinical examination along with radiological and endoscopic evaluation is mandatory. Although, few children having adenoid hypertrophy respond to medical treatment, surgery remains the mainstay. An adenoidectomy can be performed by variety of techniques. Conventional adenoidectomy is by the curettage method, still practiced in many institutions, though, a recent technique of endoscopic assisted adenoidectomy by microdebrider is also getting popularized. Both the techniques have their own merits and demerits. However, which of the two surgical techniques is better, is still a matter of preference and experience of the surgeon with the technique. In the present study we will compare the conventional curettage adenoidectomy with endoscopically assisted adenoidectomy done with microdebrider in 40 pediatric patients of adenoid hypertrophy.

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Section: Number Of Cases Completeness Of Removal On Nasal Endoscopymentioning

confidence: 89%

Section: Number Of Cases Completeness Of Removal On Nasal Endoscopymentioning

confidence: 94%

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Changing Trends in Adenoidectomy

Anand

Sarin

Singh

2013

Indian J Otolaryngol Head Neck Surg

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“…Postoperative complications such as velopharyngeal insufficiency, tubaric stenosis and nasopharyngeal stenosis are rare but difficult to resolve when occur. In up to one-third of children with clinically significant adenoid hypertrophy, conventional curettage adenoidectomy does not achieve an adequate removal of obstructive adenoid tissue, especially when there is an intranasal extension, or a bulky mass of adenoids superiorly in the rhinopharynx and in the peritubaric region [3,4,6,[9][10][11].…”

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confidence: 99%

The Evolution of the Adenoidectomy: Analysis of Different Power-Assisted Techniques

Pagella

Pusateri

Canzi

et al. 2011

Int J Immunopathol Pharmacol

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Techniques and instruments for adenoidectomy have considerably changed over the years. With the introduction in Otolaryngology of power-assisted instruments for endoscopic sinus surgery, the classic adenoidectomy performed with curette or adenotome has evolved, with an improved patients' outcome and a better satisfaction of the surgeon. The purpose of this article is to describe and critically analyze the literature reports about different methods of power-assisted adenoidectomy. We performed a literature search (Medline) to identify all available reports. We discussed the surgical techniques and reviewed advantages and disadvantages of each method. The techniques can be schematically divided in non-endoscopic, usually performed with a laryngeal mirror, and endoscopic-assisted. The endoscopic control can be obtained either trans-nasally or trans-orally, as well as the microdebrider can be inserted in the nasal cavity or maneuvered through the oral cavity. Some authors reported the usage of the power-assisted instruments in performing the entire adenoidectomy; while, according with other authors, the microdebrider can be used as a step of the surgical procedure, for a combined adenoidectomy. In conclusion, all the methods seem to be safe and effective, and the personal experience of the surgeon should guide the choice of the instruments. However, we personally consider the endoscopic techniques as the most suitable, and among these the Transoral Endonasal-Controlled Combined Adenoidectomy (TECCA) should be considered as the most ergonomic technique to perform a power-assisted adenoidectomy.

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“…When intraoperative blood loss and operation times are compared, microdebrider tonsillotomy method has been seen as being more advantageous in compliance with the literature [11][12][13]. This advantage most probably stems from the fact that the operational practice is simpler and causes less tissue damage.…”

Section: Discussionmentioning

confidence: 99%

Microdebrider Tonsillotomy in Children with Obstructive Tonsillar Hypertrophy

2013

Ann Clin Anal Med

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Comparison of Power-Assisted Adenoidectomy vs Adenoid Curette Adenoidectomy

Abstract: The PAA provides a faster, dryer, more complete, and more surgically satisfying resection than the ACA.

Cited by 94 publications

References 2 publications

Changing Trends in Adenoidectomy

Changing Trends in Adenoidectomy

The Evolution of the Adenoidectomy: Analysis of Different Power-Assisted Techniques

Microdebrider Tonsillotomy in Children with Obstructive Tonsillar Hypertrophy

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