Evaluation of endoscopic assisted suction coagulation adenoidectomy versus traditional curettage technique

The Egyptian Journal of Otolaryngology - Tập 37 - Trang 1-6 - 2021
Ayman Ali Abd Elfattah Ali1, Mohammed Kamar Elsharnouby1, Yaser Abd Elwahab Khalil1, Rehab Nour Eldin Mohammad Gad Allah1, Mohammed Abd Elhakeem Khalifa1
1Department of Otorhinolaryngology, Menoufia University, Shibin el Kom, Egypt

Tóm tắt

Adenoidal hypertrophy is a common condition in children and can cause symptoms such as mouth breathing, nasal discharge, snoring, sleep apnea, and hyponasal speech. The curettage adenoidectomy has some disadvantages, especially the intranasal extension of the adenoid tissue that makes this technique inadequate. This study is conducted to evaluate and compare between assisted suction coagulation adenoidectomy and traditional curettage techniques. One hundred twenty-two patients with symptomatic adenoid hypertrophy such as nasal obstruction, snoring, and mouth breathing were included in our study. Patients underwent adenoidectomy either traditional curettage adenoidectomy (60 patients as group A) or endoscopic assisted suction coagulation adenoidectomy (62 patients as group B). Patients were scheduled for follow-up visits with respect to operative time, operative and postoperative complications. The mean age of groups A and B were 6.57+2.8 and 7+2.8 ranging from 3 to12 years. There was a statistically significant difference between groups as regard intraoperative blood loss, trauma, postoperative complications as neck stiffness and bad odor plus postoperative endoscopic and radiological grading after the operation. Suction coagulation diathermy adenoidectomy is alternative to cold adenoidectomy with significantly fewer intraoperative complications such as blood loss and trauma of prevertebral muscle plus post-operative complications such as primary or secondary bleeding and rhinolalia aperta.

Tài liệu tham khảo

Pathan F, Sudarshan K, Satpathy S (2016) Endoscopic Adenoidectomy using a microdebrider: a series of 20 cases. Int J Curr Med Appl Sci 11(2):116–118 Emerick KS, Cunningham MJ (2006) Tubal tonsil hypertrophy: a cause of recurrent symptoms after adenoidectomy. Arch Otolaryngol Head Neck Surg 132(2):153–156 Ferreira MS, Gomes MJ, Ximendes R, Evangelista AR, Miranda EL, Garcia LB et al (2018) Comparison of three different adenoidectomy techniques in children–has the conventional technique been surpassed? Int J Pediatr Otorhinolaryngol 104:145–149 Ruben RJ (2017) The adenoid: its history and a cautionary tale. Laryngoscope. 127(2):513–528 Pagella F, Pusateri A, Canzi P, Caputo M, Marseglia A, Pelizzo G et al (2011) The evolution of the adenoidectomy: analysis of different power-assisted techniques. Int J Immunopathol Pharmacol 24(4):55–59 Dhanasekar G, Liapi A, Turner N (2010) Adenoidectomy techniques: UK survey. J. Laryngol. Otol. 124(2):199–203 Cannon CR, Replogle WH, Schenk MP (1999) Endoscopic-assisted adenoidectomy. Otolaryngol Head Neck Surg 121:740–744 Ark N, Kurtaran H, Ugur KS, Yilmaz T, Ozboduroglu AA, Mutlu C (2010) Comparison of adenoidectomy methods: examining with digital palpation vs. visualizing the placement of the curette, Int. J. Pediatr. Otorhinolaryngol. 74(6):649–651 Kim JW, Kim HJ, Lee WH, Kim DK, Kim SW, Kim YH et al (2015) Comparative study for efficacy and safety of adenoidectomy according to the surgical method: a prospective multicenter study. PloS one. 10(8):e0135304 Wynn R, Rosenfeld RM (2003) Outcomes in suction coagulator adenoidectomy. Arch Otolaryngol Head Neck Surg. 129(2):182–185 Parikh S, Coronel M, Lee J, Brown S (2006) Validation of a new grading system for endoscopic examination of adenoid hypertrophy. Otolaryngology Head Neck Surg 135(5):684–687 Cohen ML, Koltai PJ, Scott JR (1992) Lateral cervical radiographs and adenoid size: Do they correlate? Ent J 71(12):638–642 Yang L, Shan Y, Wang S, Cai C, Zhang H (2016) Endoscopic Assisted Adenoidectomy Versus Conventional Curettage Adenoidectomy: a Meta-Analysis of Randomized Controlled Trials. Springer Plus. 5:426 Tarantino V, D’Agostino R, Melagrana A (2004) Safety of electronic molecular resonance adenoidectomy. Int J Pediatr Otorhinolaryngol 68(12):1519–1523 Datta R, Singh VP (2009) Deshpal. conventional versus endoscopic powered adenoidectomy: a comparative study. Med J Armed Forces India 65(4):308–312 Reed J, Sridhara S, Brietzke S (2009) Electrocautery adenoidectomy outcomes: A meta-analysis. Otolaryngol Head Neck Surg 56(3):534–344 El-Maghraby AA, El-Habashy HS, Ahmed HA (2018) Adenoidectomy by different techniques. Al-Azhar Med. J. 47(4):699–709 Owens D, Jaramillo M, Saunders M (2015) Suction diathermy adenoid ablation. J Laryngol Otol. 119(1):34–35 Soumya S, Vissapragada R, Le J, Ooi EH (2019) Halitosis and Pain Post Electrocautery Adenoidectomy. Medicina (Kaunas). 55(6):312 Venkataramani N, Sachidananda R, Dachuri S, Vasishta SR (2019) Suction diathermy adenoidectomy: audit of current practice in a tertiary care hospital. Int J Otorhinolaryngol Head Neck Surg. 5(6):1611–1614 Ozturk O, Polat Ş (2012) Comparison of transoral power-assisted endoscopic adenoidectomy to curettage adenoidectomy. Advances in therapy. 22:1–14