Open Access
CC BY 4.0 · Journal of Health and Allied Sciences NU 2025; 15(01): 070-073
DOI: 10.1055/s-0044-1787823
Original Article

Conventional Adenoidectomy versus Endoscope-Assisted Adenoidectomy: Comparative Study

1   Department of Otorhinolaryngology, Saroja Multi-Speciality Hospital, Thrissur, Kerala, India
,
2   Department of Otorhinolaryngology, KS Hegde Medical Academy, NITTE (deemed to be University), Mangalore, Karnataka, India
,
2   Department of Otorhinolaryngology, KS Hegde Medical Academy, NITTE (deemed to be University), Mangalore, Karnataka, India
,
2   Department of Otorhinolaryngology, KS Hegde Medical Academy, NITTE (deemed to be University), Mangalore, Karnataka, India
,
Shrinath D. Kamath
› Author Affiliations
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Abstract

Objectives Adenoidectomy is a common surgical procedure in otorhinolaryngological practice.

Conventionally, adenoidectomy is performed with a curette. The present study aims to compare the conventional method with the newer endoscope-assisted adenoidectomy method.

Materials and Methods This prospective study was done in 36 patients requiring adenoidectomy at a tertiary care center from January 2020 to June 2021. The participants were allocated into two groups: group A (18) who underwent conventional adenoidectomy by curettage method and group B (18) who underwent endoscope-assisted microdebrider adenoidectomy. Data on indications for adenoidectomy, average surgical intraoperative time, and intraoperative blood loss were collected and compared between the groups. Postadenoidectomy symptom-based feedback was taken after 1 year. The intraoperative parameters were analyzed using mean ± standard deviation and independent t-test.

Results The average operative timing in the conventional adenoidectomy group was 13.89 ± 4.837 minutes as compared with 19.44 ± 4.706 minutes in the endoscope-assisted adenoidectomy group (p = 0.001). The average amount of blood loss in the conventional group was 21.528 ± 2.51 mL whereas in the endoscope assisted group it was 24.889 ± 4.45 mL (p = 0.009). None of the patients had any symptoms suggestive of recurrence on 1-year follow-up.

Conclusion Conventional adenoidectomy and endoscope-assisted adenoidectomy are safe and effective methods for adenoidectomy. Endoscopic adenoidectomy has the additional advantage of surgical removal under visualization. Depending on the clinical setup and with adequate training both procedures are effective.

Data Availability Statement

The authors will share the data on request.


Ethical Clearance

Signed informed consent for participation and publication of medical details were obtained from the parent of the subject. Confidentiality was ensured at all stages.


Patient Consent From

Consent taken from parents and in case the participant was above 18 years of age, consent was taken from them.


Ethical Approval

Ethical approval was taken from Institutional Review Board.




Publication History

Article published online:
20 June 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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