A novel method of teaching adenoidectomy using suction diathermy

Cartwright, S J; Thorne, Sarah; Okpala, E C

doi:10.1017/s0022215112001235

Cited by 4 publications

(3 citation statements)

References 3 publications

(5 reference statements)

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“…The removal of adenoids is complete in this technique with minimized risk of damage to surrounding tissues as it is done under vision. 11 Other techniques of adenoidectomy under vision include microdebrider assisted and coblation assisted adenoidectomy. The former technique of adenoidectomy ensures complete tissue removal and reduced operative duration but has the disadvantage of increased intraoperative bleeding.…”

Section: Discussionmentioning

confidence: 99%

Suction diathermy adenoidectomy: audit of current practice in a tertiary care hospital

Venkataramani¹,

Sachidananda²,

Dachuri³

et al. 2019

Int J Otorhinolaryngol Head Neck Surg

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Background: Adenoidectomy is conventionally performed using adenoid curette as a blind procedure. Suction diathermy adenoidectomy is a technique of ablating the adenoid tissue using thermal energy and removing it by suction. This audit aims to study the efficacy and complications of this technique in a tertiary care center.Methods: Retrospective analysis of hospital database was conducted. Twenty-seven patients who underwent suction diathermy adenoidectomy were identified and hospital records studied. Parents were contacted and enquired regarding improvement in child's symptoms.Results: No instances of postoperative complications identified. All except 2 parents were completely satisfied with the improvement in their child's symptoms. Two children had occasional mouth breathing.Conclusions: Suction diathermy adenoidectomy is a feasible alternative to conventional adenoidectomy with few complications and minimal rate of recurrence.

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Section: Discussionmentioning

confidence: 99%

Suction diathermy adenoidectomy: audit of current practice in a tertiary care hospital

Venkataramani¹,

Sachidananda²,

Dachuri³

et al. 2019

Int J Otorhinolaryngol Head Neck Surg

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“…The use of suction diathermy has also been described as a treatment for chronic nasopharyngitis 56 and as a teaching tool 57 …”

Section: The Institute and Entmentioning

confidence: 99%

The National Institute for Health and Clinical Excellence, and otolaryngology: review of the evidence

2013

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“…There has been recent interest in improving teaching techniques and trainees' performance in adenoid surgery [2][3][4] Landry et al had success with video glasses to improve learning of tonsillectomy and adenoidectomy in trainees 3 and Kara et al validated an objective structured assessment of technical skills to help assess trainee performance in adenotonsillectomy. 4 Simulation has proved cost-effective as part of military, aviation, and space training programs, and is now accepted as a key element of medical education.…”

Section: Introductionmentioning

confidence: 99%

A Novel Adenoidectomy Training System

2021

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Objectives/Hypothesis Young residents find mirror‐guided adenoidectomy difficult. Inexperienced trainees must learn to focus a headlight beam, work upside‐down and backward in a small space and thoroughly ablate adenoid tissue—all new skills. We present an adenoidectomy training system that is low‐cost, easy to construct, and is focused on these basic adenoidectomy skills. Study Design Prospective experimental study. Methods This training suite includes three stations each targeting a different skill. The first employs a mannequin head with exposed nasopharynx. It trains the student to coordinate a headlight and mirror while touching a series of targets with a curved probe. At the second station participants electrodessicate (or microdebride) an anchored piece of veal thymus. The third station combines both sets of skills as participants ablate thymus in a simulated nasopharynx (30 mm rectangular aluminum tube) constrained within a Crow‐Davis retractor, using a headlight, mirror, and suction electrosurgical electrode (or microdebrider). To evaluate the training system's efficacy, we assessed the performance of 10 surgically naïve medical student volunteers before and after 15 minutes of practice using a validated rating scale used for adenoidectomy. Results There was significant improvement in adenoidectomy skill scores after practicing. Overall scores were higher, time taken to touch a series of targets with a headlight and mirror was less and amount of tissue ablated at the final station was greater (P < .05). Conclusion This novel adenoidectomy training system is inexpensive and easy to build. Practice with the model resulted in statistically significant improvement in adenoidectomy skill scores for inexperienced student surgeons. Level of Evidence 3 Laryngoscope, 132:2056–2062, 2022

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A novel method of teaching adenoidectomy using suction diathermy

Cited by 4 publications

References 3 publications

Suction diathermy adenoidectomy: audit of current practice in a tertiary care hospital

Suction diathermy adenoidectomy: audit of current practice in a tertiary care hospital

The National Institute for Health and Clinical Excellence, and otolaryngology: review of the evidence

A Novel Adenoidectomy Training System

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