Pediatric Adenoidectomy: A Comparative Study Between Cold Curettage and Coblation Technique

Hapalia, Vaibhav B.; Panchal, Ajay J.; Kumar, Rakesh; Kapadia, Parth B.; Bhiryani, Mitanshi A.; Verma, Ridham B.; Parmar, Neel

doi:10.1007/s12070-020-02247-4

Cited by 5 publications

(9 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a study conducted by Bidaye et al [59] comparing curette adenoidectomy and endoscopic assisted coblation adenoidectomy, it was seen that the percentage of adenoid remnant is 40% with the traditional technique, while it was 0% with the coblator, with Therapeutic Approaches in Chronic Adenoiditis DOI: http://dx.doi.org/10.5772/intechopen.1001165 significantly lower postoperative pain in the coblation group. The same results were observed in Hapalia et al 's [60] and Di Rienzo Businco et al 's [61] comparative studies, between endoscopic coblation technique and cold curettage adenoidectomy, showing a lower residual adenoid rate and postoperative pain with the former technique.…”

Section: Coblation Adenoidectomysupporting

confidence: 84%

“…The concomitant use of the endoscope and the small wand tip of coblator allow selective removal of adenoid tissue reaching both the most cranial part of adenoid pad and the intranasal extension, preserving structures such as the Eustachian tube and pharyngeal mucosa. Another advantage is the ability to ablate and coagulate at the same time, as referred disadvantages are the need for a pediatric endoscopic set, the longer pre-operative set-up time, the need for a learning curve in pediatric endoscopy, and the inability to perform a histopathological examination [51,[59][60][61].…”

Section: Coblation Adenoidectomymentioning

confidence: 99%

See 1 more Smart Citation

Therapeutic Approaches in Chronic Adenoiditis

Giourgos¹,

Luchena²,

Bovi³

2023

Tonsils and Adenoids

View full text Add to dashboard Cite

Adenoid tissue diseases (acute adenoiditis, adenoid hypertrophy and chronic adenoiditis) typically occur in the childhood. Adenoid hypertrophy seems to be related to many factors, such as infections, passive smoking, low vitamin D levels, while the role of allergy still remains controversial. Chronic adenoiditis incidence has increased in recent years, as a result of higher rates of upper airway infections and biofilm formation, with multiple potential clinical complications. Diagnosis is typically clinical, with physical examination and nasal endoscopy. The treatment can be medical or surgical. Non-surgical treatment of chronic adenoiditis with intranasal steroids and leukotriene inhibitors have proven to be effective, reducing the size of the adenoid tissue and symptoms. On the other hand adenoidectomy is one of the commonest ENT surgical procedures with excellent outcomes and rare adverse events. Curettage adenoidectomy is widely used by many ENT surgeon, but presents risk of residual adenoidal tissue, especially in peritubaric and superior nasopharynx regions. In the last years different surgical techniques have been proposed to reduce surgical risk and morbidity, such as electrocautery adenoidectomy, microdebrider adenoidectomy and coblation adenoidectomy. Intranasal or transoral endoscopes enabled a great control of surgical field and a complete removal of adenoid tissue.

show abstract

Section: Coblation Adenoidectomysupporting

confidence: 84%

Section: Coblation Adenoidectomymentioning

confidence: 99%

Therapeutic Approaches in Chronic Adenoiditis

Giourgos¹,

Luchena²,

Bovi³

2023

Tonsils and Adenoids

View full text Add to dashboard Cite

show abstract

“…The mean sample size per study was 465.28 patients. The largest sample size was reported by Bhandari et al [ 28 ] ( n = 5659), and the smallest ( n = 40) by Di Rienzo et al [ 22 ] and Hapalia et al [ 13 ]…”

Section: Resultsmentioning

confidence: 99%

“…Regarding intraoperative bleeding, 10 RCTs [ 12 , 13 , 16 – 23 ] found differences in favor of coblator. However, the network meta-analysis by Sun et al [ 10 ] could not identify any statistically significant difference given the wide Odds ratio confidence interval.…”

Section: Discussionmentioning

confidence: 99%

“…Another variable that could justify the selection of one technique over another is pain. A total of 10 studies analyzed pain intensity [ 10 , 12 , 13 , 16 – 19 , 23 – 25 ], including one meta-analysis [ 10 ]. Sun et al network meta-analysis [ 10 ] reported significantly lower pain in the coblator group compared to the cold curette group, mixing VAS score results (mean difference = 3.45, 95% CI [0.95, 6.01]).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Coblator adenoidectomy in pediatric patients: a state-of-the-art review

Calvo-Henriquez,

RuedaFernandez-Rueda,

Garcia-Lliberos

et al. 2023

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

Introduction Adenoid hypertrophy is one of the main causes of nasal obstruction in ‘children. Adenoid hypertrophy can be approached either with nasal corticosteroids, or surgically when medical treatment fails. Different adenoidectomy techniques have been proposed to reduce morbidity and surgical risks, with a consequent marked increase in the use of new surgical procedures in recent years, with a progressive increase in the use of coblation. This state-of-the-art review aims to systematically review the current literature on the role of coblation in adenoidectomy. Methods The selection criteria included children submitted to adenoidectomy with coblator vs other techniques. 11 research questions were defined. 4 databases were explored by four authors: PubMed (Medline), the Cochrane Library, EMBASE and SciELO. The level of evidence and quality of the selected articles were assessed according to assessed according to the Quality Assessment Checklist of the National Institute for Health and Clinical Excellence. Results 20 studies met the inclusion criteria: 2 metanalysis, 12 randomized clinical trial, 2 non-randomized clinical trial, 1 prospective cohort study, and 3 retrospective cohort study. It encompassed a total population of 8375 participants. Regarding the different surgical techniques, 18 studies (excluding metanalysis) performed coblation (n = 1550), 6 microdebridement (n = 883), 15 curettage (n = 4016), and 1 suction coagulation (n = 1926). Conclusion Coblator adenoidectomy appears to offer better adenoid control compared to curettage, with a possible, although not confirmed lower rate of revision surgery. Similarly, this greater resection of adenoid tissue seems to be related to a greater reduction of nasal obstruction. The advantages of this technique are mainly less surgical bleeding—although it is not clear this is a clinically relevant difference, and less postoperative pain compared to cold curettage. The difference in pain is small, as adenoidectomy is not a painful surgery in general. There is little evidence on the control of OME and comparison with other techniques such as microdebrider adenoidectomy.

show abstract

Comparison of classical, coblation, and combined adenoidectomy techniques in paediatric patients: a single-blind, prospective study

Alaskarov

2024

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

Background and objectives Adenoidectomy is one of the most commonly performed surgeries in pediatric otolaryngological practice. This prospective study compared three different adenoidectomy techniques' intra-operative and postoperative outcomes in pediatric patients. The techniques evaluated were classical (blind curettage), coblation, and a combined approach. Materials and methods Ninety pediatric patients undergoing adenoidectomy were enrolled in the study. The patients were divided into three groups based on the technique used: Group A, classical adenoidectomy (blind curettage); Group B, coblation adenoidectomy and Group C, combined (blind curettage + coblation) adenoidectomy. The intra-operative time, degree of bleeding, and complications during and after the operations were recorded. Results Group A had a significantly shorter operative time than the other groups. However, there was no significant difference in the mean operative time between Groups B and C. The mean amount of intra-operative bleeding differed significantly among the groups. Group B had significantly less bleeding than Group A or Group C. The amount of bleeding also differed significantly between Groups A and C. The postoperative pain scores did not differ significantly among the groups. While complications were infrequent in all groups, Group C did not exhibit a higher complication rate than Groups A and B. The absence of residual or recurrent adenoid tissue in any of the groups during long-term follow-up examinations highlights the effectiveness of all three adenoidectomy techniques in preventing adenoid regrowth. Conclusions The combined approach, which was one of the techniques studied, demonstrated an intermediate profile in terms of operative time and intra-operative bleeding compared to the classical and coblation techniques. These findings suggest that this combined approach may be a feasible option for adenoidectomy in pediatric patients, considering its similar low incidence of postoperative complications.

show abstract

Pediatric Adenoidectomy: A Comparative Study Between Cold Curettage and Coblation Technique

Cited by 5 publications

References 16 publications

Therapeutic Approaches in Chronic Adenoiditis

Therapeutic Approaches in Chronic Adenoiditis

Coblator adenoidectomy in pediatric patients: a state-of-the-art review

Comparison of classical, coblation, and combined adenoidectomy techniques in paediatric patients: a single-blind, prospective study

Contact Info

Product

Resources

About