Suction diathermy adenoidectomy performed in the district general hospital

Sethi, Neeraj; Egan, Philip; Ward, V M M

doi:10.1017/s0022215113003411

Cited by 4 publications

(3 citation statements)

References 15 publications

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“…No evidence of nasopharyngeal stenosis and scarring was seen in the majority of studies with suction electrocautery technique. [59,63] Some studies have suggested an increase in pain and complication rates but a meta-analysis did not confirm those results. [63] Casserly et al [64] studied bacteremia during adenoidectomy.…”

Section: Adenoidectomy Indicationsmentioning

confidence: 95%

“…[58] The National Institute for Health and Clinical Excellence (NICE) guidelines suggested that this technique should be performed by specifically trained surgeons. [59,60] However, a study on preferred tonsillectomy and adenoidectomy methods among the members of the American Society of Pediatric Otolaryngology (ASPO) suggested that electrocautery adenoidectomy (ECA) was the most common method used for adenoidectomy. [61] An electrical current is applied from the suction cautery to the adenoid tissue to liquefy and ablate it under indirect/direct visualization with a laryngeal mirror.…”

Section: Adenoidectomy Indicationsmentioning

confidence: 99%

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Adenoidectomy: current approaches and review of the literature

Aydın²

2016

Kulak Burun Bogaz Ihtis Derg

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Adenoid is a secondary lymphoid organ located in the nasopharynx. Due to its location, it plays an important role in the host defense of the upper respiratory tract. Immunoglobulin G3 and immunoglobulin A1 antibodies are prevalent antibodies in the adenoid tissue. Adenoidal hypertrophy is a common condition in children causing symptoms such as mouth breathing, nasal discharge, snoring, sleep apnea, and hyponasal speech. It also plays a role in the pathogenesis of rhinosinusitis, recurrent otitis media, and otitis media with effusion. Currently, adenoidectomy is one of the most commonly performed pediatric surgical procedures worldwide. Although there is still poor evidence in the literature, recurrent upper respiratory infections, otitis media with effusion, and obstructive sleep apnea syndrome are considered to be the main indications of adenoidectomy. Adenoidectomy can be carried out with several techniques and instruments. Although rare, surgery possesses some risks and may cause emotional distress both for the patient and the family. Nonsurgical treatments such as intranasal steroids are also used in the treatment of adenoid hypertrophy. In this review, we discuss the current literature on the adenoid function, adenoidectomy indications, and treatment of adenoid hypertrophy.Keywords: Adenoidectomy; adenoidectomy indication; adenoidectomy technique; function of adenoid; immunology of adenoid. ÖZAdenoid, nazofarenkste yer alan sekonder lenfoid organdır. Yerleşim yeri nedeniyle, üst solunum yolundaki konak savunmasında önemli bir rol oynar. Immünglobulin G3 ve immünglobulin A1 antikorları, adenoid dokusunda yaygın bulunan antikorlardır. Adenoid hipertrofisi çocuklarda ağız solunumu, burun akıntısı, horlama, uyku apnesi ve hiponazal konuşma gibi semptomlara neden olan yaygın bir durumdur. Bununla birlikte, rinosinüzit, tekrarlayan otitis media ve efüzyonlu otitis media patogenezinde rol oynar. Günümüzde adenoidektomi tüm dünyada en sık uygulanan pediatrik cerrahilerden biridir. Literatürde henüz yeterli kanıt mevcut olmamasına rağmen, tekrarlayan üst solunum yolu enfeksiyonları, efüzyonlu otitis media ve tıkayıcı uyku apnesi sendromunun adenoidektominin başlıca endikasyonları olduğu düşünülmektedir. Adenoidektomi birçok teknik ve araç ile uygulanabilmektedir. Nadir olmasına karşın, cerrahi bazı riskler taşımakta ve hem hasta hem de aile için duygusal stres yaratabilmektedir. Adenoid hipertrofisinin tedavisinde intranazal steroid gibi cerrahi dışı tedaviler de kullanılmaktadır. Bu derlemede adenoid fonksiyonu, adenoidektomi endikasyonları ve adenoid hipertrofisinin tedavisine ilişkin mevcut literatür tartışıldı.Anahtar Sözcükler: Adenoidektomi; adenoidektomi endikasyonu; adenoidektomi tekniği; adenoid fonksiyonu; adenoid immünolojisi.Adenoidectomy is one of the most commonly performed pediatric surgical procedures all over the world today, either alone or in conjunction with tonsillectomy and/or insertion of ventilating tubes.[1] Annual adenoidectomy rates differ between countries.

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Section: Adenoidectomy Indicationsmentioning

confidence: 95%

Section: Adenoidectomy Indicationsmentioning

confidence: 99%

Adenoidectomy: current approaches and review of the literature

Aydın²

2016

Kulak Burun Bogaz Ihtis Derg

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“…The rate of regrowth or recurrence of adenoid is significantly lower in suction diathermy adenoidectomy compared to curette adenoidectomy. 9,10 Another complication of the procedure is pharyngeal infection. Some patients experience a bad odor after the procedure.…”

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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