Abstract
BackgroundAdenoidectomy is a common ENT procedure. This article aims to evaluate micro-debrider-assisted adenoidectomy as a substitute for the conventional curettage method.ResultsThe study aimed to compare between two study groups: micro-debrider-assisted adenoidectomy (group A) and conventional adenoidectomy (group B). The average time needed in group A was 34.1 min while it was 22.83 min in group B (p<0.001). The average amount of blood lost in group A was 29.57 ml and 16.67 ml in group B (p<0.001). The resection was nearly complete in group A, while in group B, five (16.66%) cases had more than 50% of the adenoid tissue left behind. Four cases in group B had damage to collaterals while in group A no major injuries were noted. Postoperative pain has only been studied in cases where adenoidectomy solely was done. Candidates in group A (n=8) reported a pain score of 3.5-3.09 whereas candidates in group B (n=11) reported a pain score of 2.75-2.55. The mean recovery time was 2.8 days in group A and 8.23 days in group B (p<0.001).ConclusionsEndoscopic adenoidectomy using micro-debrider is both an effective and safe adenoidectomy tool. The strengths of this technique include resection completeness, precise resection under vision, minor damage to collaterals, and a more rapid recovery period. Conventional adenoidectomy, however, scored better regarding lesser operative time and bleeding intraoperatively.
Highlights
Analysis of intraoperative time consumed in groups: micro-debrider-assisted adenoidectomy (group A) subjects ranged from 22 to 70 min, the mean was of 34.1 ± 8.44 min
The time of operation was significantly longer in group A than group B the average operative time in group A was 34.1 min and in group B was 22.83 min
Datta et al showed that the average time of micro-debrider-assisted adenoidectomy was 39.3 min and the average time of conventional adenoidectomy was 29.3 min [14]
Summary
This article aims to evaluate micro-debrider-assisted adenoidectomy as a substitute for the conventional curettage method. The adenoid represents as lymphatic tissue in the nasopharynx. Adenoids are situated in the midline on the roof and posterior wall of the nasopharynx [1]. Patients suffering from adenoid hypertrophy are presented with obstructive nasal breathing. This may or may not be accompanied by a chronic or acute infection of the adenoids [2]. A recent meta-analysis study demonstrated that the prevalence of hypertrophied adenoid in a randomized representative sample of children and adolescents was 34.46% [3]. Adenoidectomy, either alone or with tonsillectomy, is considered among the most performed procedures in
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