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Endoscopic assisted powered adenoidectomy versus conventional adenoidectomy – a randomised controlled trial

Published online by Cambridge University Press:  03 May 2019

R Juneja ,
R Meher ,
A Raj ,
P Rathore ,
V Wadhwa  and
N Arora
R Juneja*
Affiliation:
Department of ENT and Head and Neck Surgery, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India
R Meher
Affiliation:
Department of ENT and Head and Neck Surgery, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India
A Raj
Affiliation:
Department of ENT and Head and Neck Surgery, Sharda Institute of Medical Sciences, Greater Noida, India
P Rathore
Affiliation:
Department of ENT and Head and Neck Surgery, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India
V Wadhwa
Affiliation:
Department of ENT and Head and Neck Surgery, Lok Nayak Hospital, New Delhi, India
N Arora
Affiliation:
Department of ENT and Head and Neck Surgery, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India
*
Author for correspondence: Dr Ruchika Juneja, B-7/5 Mianwali Nagar, Rohtak Road, New Delhi 110087, India E-mail: junejaruchika1@gmail.com Fax: +91 1125 947 056
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Abstract

Objective

To compare endoscopic assisted powered adenoidectomy with conventional curettage adenoidectomy.

Methods

A randomised controlled trial was conducted at a tertiary care teaching hospital. Fifty patients with a symptom complex pertaining to adenoid hypertrophy and requiring adenoidectomy were chosen and divided into 2 groups of 25 each. Patients in group A underwent conventional curettage adenoidectomy and those in group B underwent endoscopic assisted powered adenoidectomy. Comparison was based on the parameters of surgical time, intra-operative bleeding, post-operative pain and completeness of adenoid removal.

Results

The surgical time was significantly longer with the powered instrument. Mean blood loss was greater in the powered group, but was statistically insignificant. The powered procedure fared significantly better, with lower pain scores and more instances of complete tissue resection.

Conclusion

A curved microdebrider blade can be used safely and precisely for adenoidectomy under endoscopic vision. It enables complete resection of adenoid tissue. This method also proves to be an excellent teaching aid.

Keywords

AdenoidectomyEndoscopyAdenoidsSnoringOtitis Media

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 4 , April 2019 , pp. 289 - 293
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Dr R Juneja takes responsibility for the integrity of the content of the paper

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