Endoscopic Coblation versus Cold Curettage Adenoidectomy

Abstract

Abstract Background Adenoidectomy remains one of the surgical procedures most frequently performed by otolaryngologist. Adenoid hypertrophy causes nasal obstruction and airway problems such as snoring, obstructive sleep apnea, recurrent sinusitis, and/or Eustachian tube dysfunction. There is also reduced ability to smell and taste, hyponasal speech and craniofacial abnormalities. These complications frequently lead to a need for adenoidectomy. Aim of the Work Compare between endoscopic coblation versus cold curettage adenoidectomy as regard operative time, blood loss, post-operative pain and complications. Materials and Methods We performed this systematic review and meta-analysis in accordance to the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement and Meta-analysis Of Observational Studies in Epidemiology (MOOSE) statement. PRISMA and MOOSE are reporting checklists for Authors, Editors, and Reviewers of Meta-analyses of interventional and observational studies. According to International committee of medical journal association (ICJME), reviewers must report their findings according to each of the items listed in those checklists. Results We performed a comperehensive search of five electronic databases to comperehensively include all eligible studies. In addition, the risk of bias was low among the included studies. However, we acknowledge that the present study has some limitations. Some included studies were observational studies with inherent limitations of possible misclassification and ascertainment bias. In addition, most of the studies were a single-center experience and therefore the results cannot be generalized to the general population. Conclusion Endoscopic coblation technique is superior to cold curettage adenoidectomy in pediatric population. The present systematic review and meta-analysis showed that endoscopic coblation technique had better outcomes in terms of intraoperative blood loss and postoperative pain. However, special attention should be paid for operation time with endoscopic coblation. Nevertheless, further studies are still needed to confirm our findings and to identify patient factors that significantly increase the rate of recurrence in both techniques.