Comparative Study between Different Techniques of Adenoidectomy

Abstract

Background: Adenoid Hypertrophy [AH] is the most frequent cause of upper airway obstruction in the pediatric age groups, while Adenoidectomy is the standard surgical procedure for complicated AH. Multiple surgical practices have been illustrated for performing adenoidectomy.Aim of the work: To compare between three different methods of adenoidectomy [coblation, suction diathermy and conventional method] according to pain, bleeding, time, blood loss, and post-operative adenoid remnants.Patients and Methods: Ninety patients were randomly assigned to one of three groups [30 patients in each] were included in this study; Group A was managed by coblation, Group B was managed by suction coagulation, and Group C was performed via the conventional approach. Collected operative data included operative time and the amount of intraoperative bleeding. Post-operative data included pain scale, duration till resolution, duration of hospitalization, total financial cost, and the incidence of complications.Results: The mean amount of intra operative bleeding was 35.17, 12.67, and 58.5 ml in the same three study groups respectively, with a significant increase in Group C. Post-operative VAS score showed a significant decrease in Group A, as it had mean values of 2.67, 6.43, 4.6 in the three study groups respectively.Conclusion: Coblation adenoidectomy has multiple advantages including less blood loss, decreased post-operative pain, and faster resolution after operation. Nonetheless, it is associated with longer operative duration along with increased financial healthcare costs.

Keywords

• adenoids
• adenoidectomy
• coblation
• suction coagulation