Endoscopic assisted powered adenoidectomy versus conventional adenoidectomy – a randomised controlled trial

Juneja, Ruchika; Meher, Ravi; Raj, Anuradha; Rathore, Praveen Kumar; Wadhwa, Vibhor; Arora, Nikhil

doi:10.1017/s0022215119000550

Cited by 19 publications

(31 citation statements)

References 14 publications

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“…In the current study, mean duration per minute of operation was significantly shorter among conventional curettage method of adenoidectomy group 16.44±2.01 with range from 14 minute to 20 minute, versus 31.67± 2.12 with range from 29 minute to 36 minute of endoscopic assisted powered adenoidectomy group. This came in agreement with Juneja et al (8) who found that the mean operative time was 19.80 minutes (range, 7-28 minutes) in conventional curettage group and 34.08 minutes (range, 15-60 minutes) in endoscopic assisted powered adenoidectomy group. The difference between the two groups was statistically significant (p < 0.05).…”

Section: Discussionsupporting

confidence: 91%

“…In the present study, all patients of both groups represented with nasal obstruction and mouth breathing and CT findings confirmed adenoid enlargement. This came in agreement with Juneja et al (8) , Prakash et al (11) , Somani et al (12) , Datta et al (13) who found that radiographic evaluation revealed enlarged adenoids in 100 % of patients with an adenoidal-nasopharyngeal ratio of equal to or more than 0.7. These findings were corroborated by endoscopic evaluation, which revealed grade III adenoid hypertrophy in 76 % of patients and grade IV in 16%, according to the grading of Clemens et al (14) .…”

Section: Discussionsupporting

confidence: 90%

“…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: 89%

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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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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 89%

See 1 more Smart Citation

Comparison between Endoscopic Microdebrider Adenoidectomy and Conventional Curettage Method

Yadam¹,

El-Bahrawy²,

Mohammed³

2021

The Egyptian Journal of Hospital Medicine

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“…cantly shorter and less hemorrhage was observed using the conventional surgical technique, although the data were not statistically significant. 12 Datta et al and Businco et al similarly reported that surgery time was shorter using the conventional technique. 13,14 However, Stanislaw et al suggested that the surgery time in the microdebrider technique accompanied with endoscopy was shorter.…”

Section: Graphicmentioning

confidence: 97%

Can the Distance Between the Incisors and the Canine Teeth be a Safe Marker for Conventional Adenoidectomy?

Akgül¹,

Turgut²,

Taylan³

et al. 2021

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“…These approaches have advantages over traditional methods. This issue contains an article, from New Delhi, 2 on the topic of adenoidectomy technique, in which endoscopic-assisted powered adenoidectomy is compared with conventional curettage. The endoscopic method used a curved microdebrider blade inserted through the mouth, with visualisation endoscopically through the nose.…”

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confidence: 99%

Adenoidectomy technique, surgeon anxiety and augmenting the medical school ENT curriculum

Fisher¹,

Hussain²,

Fishman³

2019

J. Laryngol. Otol.

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Although the standard technique for adenoidectomy is curettage and this has remained prevalent as judged from recent surveys, the situation is evolving. This technique leaves a lot to be desired, especially in terms of the precision of tissue removal. 1 Alternatives include suction diathermy, coblation or powered endoscopic techniques, sometimes performed endoscopically rather than blindly or via a mirror. These approaches have advantages over traditional methods. This issue contains an article, from New Delhi, 2 on the topic of adenoidectomy technique, in which endoscopic-assisted powered adenoidectomy is compared with conventional curettage. The endoscopic method used a curved microdebrider blade inserted through the mouth, with visualisation endoscopically through the nose. The benefits of greater precision, less pain, better teaching and more complete excision (especially in the awkward areas around the posterior choana) were only slightly offset by more bleeding in the microdebrider group. In the paper from Pune, India, 3 the comparison was similar, except that ablation was achieved via coblation rather than a microdebrider. The new technique gave a more complete excision, less pain and less bleeding, at the expense of greater time spent on the surgery. Times are changing and the days of curettage seem to be numbered. The anxiety levels experienced by surgeons who perform adenotonsillectomy is a topic that is not often discussed, and is studied even less. The paper from Turkey 4 examines European paediatric ENT surgeons, and finds fair levels of anxiety, particularly with respect to fear of bleeding. This lessens with experience. There is room for more studies of this type. Medical student education in otorhinolaryngology is close to the heart of practising surgeons, as this is the seed corn for future recruitment and enthusiasm in the discipline, and so is vital for ongoing service delivery. With many medical schools in the UK and abroad paring down the ENT content of the undergraduate curriculum, often to such an extent that this specialty is often an 'option' rather than part of the core curriculum, 5 the question arises as to how we overcome this threat to standards and to recruitment. Medical students need to have a positive view of the specialty, and of what it offers to work-life balance, family finances and prospects for career progression, and previous Journal of Laryngology & Otology papers have covered this topic. 6 The paper by Spiers and colleagues, from St George's Hospital in London, 7 describes the effects of a 1-day ENT course for students (provided at minimal cost) on participants' perception of the specialty and what it offers, as well as specific tracheostomy skills. The results were encouraging on all parameters, and this could provide a generally applicable model to offset the inadequacies of the standard undergraduate curriculum in representing the specialty in a favourable (and realistic) light.

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Endoscopic assisted powered adenoidectomy versus conventional adenoidectomy – a randomised controlled trial

Cited by 19 publications

References 14 publications

Comparison between Endoscopic Microdebrider Adenoidectomy and Conventional Curettage Method

Comparison between Endoscopic Microdebrider Adenoidectomy and Conventional Curettage Method

Can the Distance Between the Incisors and the Canine Teeth be a Safe Marker for Conventional Adenoidectomy?

Adenoidectomy technique, surgeon anxiety and augmenting the medical school ENT curriculum

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