Comparative study of Adenoidectomy by Endoscopic Transoral Suction Coagulation Versus the Traditional Method

Abstract

Background: Adenoidectomy is one of the most common procedures performed by otorhinolaryngologists. Previously, suction cautery was used for haemostasis following curettage adenoidectomy. Whereas more recently, the entire procedure has been performed using this technique, and it has now been accepted as a suitable technique, especially in the pediatric population. Objective: To compare two different techniques for adenoidectomy, one is traditional adenoidectomy and the other is the endoscopic transoral adenoidectomy by suction diathermy. Patients and methods: This study included 100 patients (62 males and 38 females) attended to the Otorhinolaryngology Outpatient Clinic of Al-Azhar University Hospital in Assiut and diagnosed as adenoid hypertrophy through the period from November 2019 to March 2020. Results: The average operative time of traditional method was 9.9 minutes (range: 7 to 12 minutes), which is longer than that of adenoidectomy by suction diathermy where it was7.2 minutes (range: 4 to 10 minutes) also the intra operative blood loss was markedly lower in adenoidectomy by suction diathermy. It was 5.7 ml (range: 3 to 7 ml) while it was 27.3 ml (range: 21 to 32 ml) in the traditional method. Post-operative complications in our study include post-operative hemorrhage, velopharyngeal insufficiency and recurrence, which was higher in the traditional method. Post adenoidectomy healing time was 14 days for the traditional method (range: 13 to15 days), which is shorter than that of suction diathermy where it was 18 days (range: 17 to 20 days). Conclusion: Adenoidectomy by endoscopic transoral suction diathermy is more safe and effective than adenoidectomy by traditional curatte in treatment of patients with hypertrophied adenoid with less complication.