Kalpesh B Patel, Sourav Banerjee, Chinmayee Joshi, Vishal Modi*, Brijal Patel and Dipak Bamanya

Department of Otolaryngology, India

*Corresponding Author: Vishal Modi, Department of Otolaryngology, India.

Received: January 25, 2024; Published: February 14, 2024

Abstract

Introduction: Adenoidectomy with or without tonsillectomy is one of the most common surgical procedures performed by Ent surgeon, main purpose is to eliminate the nasopharyngeal reservoir of potential respiratory pathogens and to remove cause of obstruction at nasal airway. Adenoids are a nasopharyngeal tissue found in posterosuperior wall of nasopharynx.

Aim: To Compare Safety and Efficacy Between Endoscopic Assisted Coblation Adenoidectomy and Endoscopic Assisted Microdebrider.

Material and Methods: We have done prospective randomized interventional study in 50 patients coming to Ent opd by dividing patient two group of 25 one with coblation and one with microdebrider and we studied various parameter in these patients.

Results: Our study shows mean operative time in coblation assisted was 24.16 min and Microdebrider assisted was 29.84 min. Mean intra operative blood loss was 25.6 ml in Group A and 32.6 ml in Group B Persistence of symptoms after adenoidectomy is same in both methods. The mean recovery period in group A(coblator) was 2.6 +/- 0.5 days and 3.04+/- 0.59 days for group B(debrider).

Conclusion: Our study shows coblation method have less intraoperative bleeding, operative time and less recovery period.

Keywords: Adenoidectomy; Coblation; Microdebrider

References

1. Thorval A. “Wilhelm Meyer and the adenoids”. Archives of Otolaryngology3 (1969): 383-386.
2. Scott-Brown Otolaryngology, seventh edition, 1997 and Manual of middle ear surgery.
3. Fujioka M., et al. “Radiographic evaluation of adenoidal size in children: adenoidal-nasopharyngeal ratio”. AJR American Journal of Roentgenology3 (1979): 401-404.
4. Cannon CR., et al. “Endoscopic-assisted adenoidectomy”. Otolaryngology–Head and Neck Surgery6 (1999): 740-744.
5. Singh J and Bhardwaj B. “The Comparison between Microdebrider Assisted Adenoidectomy and Coblation Adenoidectomy: Analyzing the Intraoperative Parameters and Post-operative Recovery”. Indian Journal of ROtolaryngology–Head and Neck Surgery1 (2020): 59-65.
6. Stanislaw P Jr., et al. “Comparison of power-assisted adenoidectomy vs adenoid curette adenoidectomy”y. Archives of Otolaryngology–Head and Neck Surgery7 (2000): 845-849.
7. Mularczyk C., et al. “Coblation versus microdebrider in pediatric adenoidectomy”. International Journal of Pediatric Otorhinolaryngology 104 (2018): 29-31.
8. Atilla MH., et al. “Comparison between curettage adenoidectomy and endoscopic-assisted microdebrider adenoidectomy in terms of Eustachian tube dysfunction”. Brazilian Journal of Otorhinolaryngology1 (2020): 38-43.
9. Datta R., et al. “Conventional Versus Endoscopic Powered Adenoidectomy: A Comparative Study”. Medical Journal Armed Forces India 4 (2009): 308-312.

Citation

Citation: Vishal Modi., et al. “A Comparative Study of 50 Cases of Adenoidectomy Demonstrating the Difference in Outcome and Complications on Using Coblation Versus Microdebrider".Acta Scientific Otolaryngology 6.3 (2024): 15-19.

Copyright

Copyright: © 2024 Vishal Modi., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.