Power-Assisted Adenoidectomy

Koltai, Peter J.; Kalathia, Axay S.; Stanislaw, Paul; Heras, Heidi A.

doi:10.1001/archotol.1997.01900070023004

Cited by 93 publications

(81 citation statements)

References 4 publications

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“…In the experience of some authors [1][2][3][4][5]21] a complete microdebrider adenoidectomy with laryngeal mirror control was shown to be faster, and as safe as, than a traditional curettage adenoidectomy. However, in our opinion, nowadays a clear vision of the operating field is essential and this can be obtained, with excellent illumination and focus, with an endoscope.…”

Section: Discussionmentioning

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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Section: Discussionmentioning

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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“…Since the commonly used curettage adenoidectomy is sometimes inadequate and unsafe, alternative adenoidectomy techniques have recently been developed in parallel to the advances in fiberoptic and endoscopic systems [6]. While curettage adenoidectomy, which is performed blindly without direct visualization, may lead to injuries in structures such as choana, nasopharyngeal mucosa and torus tubarius; it is also possible to experience similar problems following adenoidectomy performed using forceps or adenoid punch under endoscopic view [11].…”

Section: Discussionmentioning

confidence: 99%

Is Transnasal Endoscopic Examination Necessary Before and After Adenoidectomy?

Yıldırım

Apuhan

Aksoy

et al. 2012

Indian J Otolaryngol Head Neck Surg

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The present study aimed to investigate the amount of residual adenoid tissue following the conventional adenoidectomy as compared with preoperative values. A total of 32 girls and 44 boys (range, 3-15 years) in whom adenoidectomy procedure was planned were included in the study. Adenoid tissue sizes before adenoidectomy and residual tissue sizes after conventional curettage adenoidectomy were measured by transnasal endoscopic examination and were recorded. Adenoid tissue size before and after adenoidectomy was compared. The mean age of the patients was 7.7 years (range, 3-15 years). Before adenoidectomy grade 4 adenoid tissue was noted in 43.4% (n = 33), grade 3 was noted in 28.9% (n = 22), grade 2 was noted in 25% (n = 19), and grade 1 was noted in 2.6% (n = 2) of the patients. Following adenoidectomy, no significant difference was noted with respect to residual adenoid tissue sizes of grade 4 and grade 3 patients (P = 0.75, P = 0.76). Transnasal endoscopic examination is suggested to be the most appropriate method to assess the amount of residual adenoid tissue after conventional curettage adenoidectomy. The residual adenoid tissue with the help of a microdebrider in case of a large residual adenoid tissue located in the choana are necessary for complete adenoidectomy.

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“…In 1997, Koltai et al [8] described their use in performing adenoidectomy. Two subsequent articles were published in 2002 and 2003 describing the efficient use of microdebriders to debulk tonsillar tissue in patients with obstructive sleep disorders [9,10] .…”

mentioning

confidence: 99%

Microdebrider Intracapsular Tonsillectomy

Vaughan

Derkay²

2007

ORL

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With a continued desire to reduce the morbidity of tonsil surgery, otolaryngologists have begun to use powered microdebriders to perform partial intracapsular tonsillectomies. This technique has an advantage over conventional tonsillectomy of leaving a biological dressing or residual tonsillar tissue and capsule to protect the underlying musculature with its vessels and nerves. The literature has shown that partial intracapsular tonsillectomy is equally effective at relieving patient’s symptoms of obstruction when compared to conventional tonsillectomy and that it appears to reduce the complications of postoperative pain, dehydration, and bleeding. Patients are able to return to normal activity and diet faster as the healing process is accelerated. This article reviews the published data on microdebrider-assisted partial intracapsular tonsillectomy with a discussion of its advantages, potential limitations and areas of future research.

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Power-Assisted Adenoidectomy

Cited by 93 publications

References 4 publications

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

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

Is Transnasal Endoscopic Examination Necessary Before and After Adenoidectomy?

Microdebrider Intracapsular Tonsillectomy

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