Comparative study between conventional adenoidectomy and adenoidectomy using micro-debrider

Elmagd, Essam A. Abo; Khalifa, Mahmoud S.; Abeskharoon, Beshoy K.; Tahan, Abdelrahman A. El

doi:10.1186/s43163-021-00102-z

Cited by 3 publications

(2 citation statements)

References 17 publications

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“…It is situated in the midline on the roof and posterior wall of the nasopharynx. The adenoids are midline structures situated on the roof and posterior wall of the nasopharynx [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

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Different techniques of adenoidectomy and its impact on middle ear pressure: a randomized controlled study

Seleim,

Elsamnody,

Amer

2023

Eur Arch Otorhinolaryngol

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Objectives The aim of this work is to compare between different techniques of adenoidectomy: endoscopic microdebrider-assisted, coblation and conventional adenoidectomy and its effect on middle ear pressure. Background Adenoidectomy, either alone or with tonsillectomy, is considered among the most performed procedures in pediatric otorhinolaryngology. This procedure usually related to the Eustachian tube function and middle ear status. Eustachian tube dysfunction is mainly caused by mechanical obstruction of the tubal orifice, insufficient swallowing and inflammation in the nasopharyngeal mucosa. Methods This prospective randomized study was conducted on 90 patients with symptomatic adenoid hypertrophy confirmed by nasopharyngeal X-ray and endoscopic grading preoperatively. Patients were admitted at Otorhinolaryngology department of our institute during the period from January 2022 to January 2023. They were divided into three groups that were operated either by conventional (Group I), endoscopic microdebrider (Group II), or coblation technique (Group III). Each group was assessed through the audiometric parameters plus postoperative bleeding, and VAS results for pain score and postoperative endoscopic grading for adenoid recurrence. Results Mean age in group A was 9.03 years and in group B was 8.99 years and was 8.99 years in group C with insignificant differences between three groups. There is significant improvement of tympanographic results comparing all groups of the patients at 6 months postoperatively. There is significant relation between the mean VAS comparing preoperative and postoperative results. Conclusion There are better results in tympanographic data at conventional adenoidectomy versus other techniques. However, there are also better postoperative results after either coblation or endoscopic microdebrider adenoidectomy over the conventional technique.

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“…It is situated in the midline on the roof and posterior wall of the nasopharynx. The adenoids are midline structures situated on the roof and posterior wall of the nasopharynx [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

“…Adenoidectomy, either alone or with tonsillectomy, is considered among the most performed procedures in pediatric otorhinolaryngology. Classical adenoidectomy is referred to as the curette adenoidectomy or conventional adenoidectomy, which utilizes a curette for adenoids removal [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

Different techniques of adenoidectomy and its impact on middle ear pressure: a randomized controlled study

Seleim,

Elsamnody,

Amer

2023

Eur Arch Otorhinolaryngol

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Endoscopic Adenoidectomy Replacing the Outdated Curette Adenoidectomy: Comparison of the Two Methods at a Tertiary Care Centre

Manhas

Deva²,

Sharma³

et al. 2022

Indian J Otolaryngol Head Neck Surg

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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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Comparative study between conventional adenoidectomy and adenoidectomy using micro-debrider

Cited by 3 publications

References 17 publications

Different techniques of adenoidectomy and its impact on middle ear pressure: a randomized controlled study

Different techniques of adenoidectomy and its impact on middle ear pressure: a randomized controlled study

Endoscopic Adenoidectomy Replacing the Outdated Curette Adenoidectomy: Comparison of the Two Methods at a Tertiary Care Centre

Comparison between Endoscopic Microdebrider Adenoidectomy and Conventional Curettage Method

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