Power-Assisted Adenoidectomy: Total and Partial Resection

Abstract

We have consistently demonstrated that power-assisted adenoidectomy is precise, rapid, and safe.

Changing Trends in Adenoidectomy

“…We found that in comparison with curettage adenoidectomy, PAA was statiscally faster (p value of 0.015) and caused less blood loss (p value of 0.016). A similar study by Koltai et al [18] has compared two aspects of surgery which were operating time and amount of blood loss having both …”

Microdebrider Tonsillotomy in Children with Obstructive Tonsillar Hypertrophy

“…When intraoperative blood loss and operation times are compared, microdebrider tonsillotomy method has been seen as being more advantageous in compliance with the literature [11][12][13]. This advantage most probably stems from the fact that the operational practice is simpler and causes less tissue damage.…”

“…In conventional tonsillectomy; lateral pharyngeal muscle is exposed to a temporary super-infection and infected wound healing risk stemming from oral cavity bacteria together with surgical trauma. All these factors are major determinants which cause postoperative pain by most authors [13,14]. Lactic acide and inflamatory mediators (leukotriens, prostaglandines) which are formed after surgical operations stimulate nerve terminals and cause muscle spasms and local ischemia.…”

“…Residual lymphoid tissues after intracapsular tonsillectomy may cause a lymphoid hyperplasia, an increase in tonsil tissue in postoperative period and also recurrent tonsillitis attack. Koltai and friends have shown that there had been some relapses in a small group of patients, after tonsillectomy [13][14][15]. In microdebrider tonsillectomy application, financial dimension of the material is important factor.…”

Endoscopy in Nasopharyngeal Adenoid Surgery

“…Both the hand piece and the endoscope can be introduced through the oral cavity if the nasal fossa is too narrow, in younger children. One of the major advantages of using the microdebrider is having the option to remove adenoid tissue only partially (Rodriguez et al, 2002;Koltai et al, 2002), as in cases of insufficient velopharyngeal valve, in cases of repaired cleft palate, and those with submucous cleft palate.…”