Powered Partial Adenoidectomy

Murray, Nicole; Fitzpatrick, Philip; Guarisco, J. Lindhe

doi:10.1001/archotol.128.7.792

Cited by 46 publications

(64 citation statements)

References 8 publications

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“…This is important in day care surgeries like adenoidectomy. Also complications like nasopharyngeal stenosis and eustachian tube stenosis though rare are difficult to handle if they occur [6]. Traditionally adenoidectomy is done with a curette.…”

Section: Discussionmentioning

confidence: 99%

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Endoscopic Adenoidectomy with Microdebrider

Somani

Naik

Bangad

2010

Indian J Otolaryngol Head Neck Surg

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To describe endoscopic power assisted adenoidectomy and review the experience with the procedure demonstrating its safety and efficacy. Prospective study of 44 patients aged between 7 to 15 years undergoing power assisted adenoidectomy between Jan 2004 and July 2006. Tertiary care private teaching hospital. Forty four consecutive children with adenoid hypertrophy undergoing power assisted adenoidectomy. Therapeutic endoscopic adenoidectomy using microdebrider. Operative time, blood loss, complications, completeness and depth of removal, surgeon's satisfaction and recovery period. The average operative time was 12 min (range: 8-16 min) and average blood loss was 30 ml (range: 24-42 ml). Complete resection was possible under vision with few complications. The surgeon satisfaction was high and post-operative recovery good. Power assisted adenoidectomy is quick, precise and safe. There is good visualization during resection thus improving precision and ensuring complete removal of adenoid tissue.

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Section: Discussionmentioning

confidence: 99%

“…Adenoidectomy with microdebrider using a transnasal endoscopic approach has been described [4,10]. Others have used a mirror for visualization in the place of endoscope [6,14].…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Adenoidectomy with Microdebrider

Somani

Naik

Bangad

2010

Indian J Otolaryngol Head Neck Surg

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“…5 Comparison of completeness of removal on nasal endoscopy similar groups as in our study showing the mean operating time to be significantly less with power assisted adenoidectomy (11 min) compared to curettage adenoidectomy (19 min). In a prospective study of 140 children divided into similar groups by Nicole Murray [19], operative time was 59 % shorter for the microdebrider group (mean 3 min 22 s) as compared to the conventional group (mean 8 min 8 s; range) (p \ 0.001). On an average, microdebrider saved 4 min 46 s which is highly significant while the amount of blood loss in both the groups was not of significant difference.…”

Section: Number Of Cases Completeness Of Removal On Nasal Endoscopymentioning

confidence: 99%

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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“…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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Powered Partial Adenoidectomy

Cited by 46 publications

References 8 publications

Endoscopic Adenoidectomy with Microdebrider

Endoscopic Adenoidectomy with Microdebrider

Changing Trends in Adenoidectomy

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

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