Suction cautery adenoidectomy (SCA): Is the additional cost justified?

Hajr, Eman; Hagr, Abdulrahman; Alarfaj, Ahmed; Ashraf, Masooda

doi:10.1016/j.ijporl.2010.11.020

Cited by 5 publications

(4 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Some studies have shown that among the 4 different surgical methods, CUA has the lowest cost for it does not require additional expensive surgical instruments other than curette. 23,25,37 It has been confirmed in studies that the costs of PFAA and PVSA are relatively high, and there was no significant difference between the 2 approaches. 26,27 The cost of SDA seems to be between CUA and PVSA, and the only study showed that the cost of SDA is lower than that of PVSA.…”

Section: Discussionmentioning

confidence: 88%

Comparison Between Different Approaches Applied in Pediatric Adenoidectomy: A Network Meta-Analysis

Sun

Yuan

Kong

2022

Ann Otol Rhinol Laryngol

View full text Add to dashboard Cite

Objective: Adenoidectomy is a surgical procedure most frequently performed by otolaryngologists. However, there are no universally accepted guidelines for the choice of the surgical approach in specific circumstances. Therefore, a network meta-analysis (NMA) is needed to summarize existing studies and provide more evidence-based medical guidelines. Methods: A systematic search of the literature was conducted in the Cochrane Central Register of Controlled Trials, PubMed, and EMBASE databases from inception to 31 July 2021. A network meta-analysis of operating time, intraoperative blood loss, postoperative pain score, and incidence of postoperative residual tissue was performed. Results: A total of 20 studies with 2329 patients were included. Four common surgical approaches, including powered vacuum shaver adenoidectomy (PVSA), plasma field ablation adenoidectomy (PFAA), curettage adenoidectomy (CUA), and suction diathermy adenoidectomy (SDA), were compared for operative time, intraoperative blood loss, postoperative pain score, and incidence of postoperative residual tissue. There were no significant differences between the surgical techniques for the 3 endpoints, operative time, intraoperative blood loss, and incidence of postoperative residual tissue. The data showed lower postoperative pain scores for PFAA than for CUA (MD = −3.45, 95% CI [−6.01, −0.95]). There were no significant differences in other surgical approaches for postoperative pain scores. Conclusion: There were no significant differences between PVSA, PFAA, CUA, and SDA for operative time, intraoperative blood loss, and incidence of postoperative residual tissue. PFAA had advantages over CUA for postoperative pain scores.

show abstract

Section: Discussionmentioning

confidence: 88%

Comparison Between Different Approaches Applied in Pediatric Adenoidectomy: A Network Meta-Analysis

Sun

Yuan

Kong

2022

Ann Otol Rhinol Laryngol

View full text Add to dashboard Cite

show abstract

“…Specifically, we recorded the number of studies that used either cost‐effective(ness) or cost‐benefit in the title or abstract but were not true economic evaluations. Following the application of the inclusion and exclusion criteria, a total of 50 studies were evaluated using the QHES instrument 12‐61 …”

Section: Methodsmentioning

confidence: 99%

Systematic Review of the Quality of Economic Evaluations in the Otolaryngology Literature

Liu

Lui

Paolucci

et al. 2014

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

show abstract

“…4 Our study too showed that most parents (92.6%) were The reported complications of adenoidectomy including post-operative haemorrhage is very less with suction diathermy adenoidectomy. [4][5][6][7] In our case series, none of the patients had postoperative haemorrhage. The other reported complications include neck pain, postoperative neck stiffness and velopharyngeal insufficiency.…”

Section: Discussionmentioning

confidence: 50%

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

Venkataramani¹,

Sachidananda²,

Dachuri³

et al. 2019

Int J Otorhinolaryngol Head Neck Surg

View full text Add to dashboard Cite

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.

show abstract

Suction cautery adenoidectomy (SCA): Is the additional cost justified?

Cited by 5 publications

References 9 publications

Comparison Between Different Approaches Applied in Pediatric Adenoidectomy: A Network Meta-Analysis

Comparison Between Different Approaches Applied in Pediatric Adenoidectomy: A Network Meta-Analysis

Systematic Review of the Quality of Economic Evaluations in the Otolaryngology Literature

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

Contact Info

Product

Resources

About