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DOI: 10.1055/s-0044-1787823
Conventional Adenoidectomy versus Endoscope-Assisted Adenoidectomy: Comparative Study

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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References
- 1 Van Den Akker EH, Hoes AW, Burton MJ, Schilder AGM. Large international differences in (adeno)tonsillectomy rates. Clin Otolaryngol Allied Sci 2004; 29 (02) 161-164
- 2 Cannon CR, Replogle WH, Schenk MP. Endoscopic-assisted adenoidectomy. Otolaryngol Head Neck Surg 1999; 121 (06) 740-744
- 3 Clemens J, McMurray JS, Willging JP. Electrocautery versus curette adenoidectomy: comparison of postoperative results. Int J Pediatr Otorhinolaryngol 1998; 43 (02) 115-122
- 4 Curtin JM. The history of tonsil and adenoid surgery. Otolaryngol Clin North Am 1987; 20 (02) 415-419
- 5 Juneja R, Meher R, Raj A, Rathore P, Wadhwa V, Arora N. Endoscopic assisted powered adenoidectomy versus conventional adenoidectomy - a randomised controlled trial. J Laryngol Otol 2019; 133 (04) 289-293
- 6 Modi AT, Raval JB, Aiyer RG, Shah PC. Comparative study between conventional curettage adenoidectomy versus endoscopic microdebrider assisted adenoidectomy: our experience. Indian J Otolaryngol Head Neck Surg 2022; 74 (Suppl. 02) 875-880
- 7 Harugop AS, Soni S, Tejaswini JS. Efficacy and safety of microdebrider assisted adenoidectomy over conventional adenoidectomy. Bengal J Otolaryngol Head Neck Surg 2020; 28 (01) 59-66
- 8 Somani SS, Naik CS, Bangad SV. Endoscopic adenoidectomy with microdebrider. Indian J Otolaryngol Head Neck Surg 2010; 62 (04) 427-431
- 9 Das AT, Prakash SB, Priyadarshini V. Combined conventional and endoscopic microdebrider-assisted adenoidectomy: a tertiary centre experience. J Clin Diagn Res 2017; 11 (02) MC05-MC07
- 10 Datta R, Singh VP. Deshpal. Conventional versus endoscopic powered adenoidectomy: a comparative study. Med J Armed Forces India 2009; 65 (04) 308-312
- 11 Ravishakar C, Killera S. Comparing endoscopic microdebrider assisted adenoidectomy with curettage procedure. International Journal of Otorhinolaryngology and Head and Neck Surgery. 2018; 4 (02) 559-564
- 12 Bradoo RA, Modi RR, Wahane V. Comparison of endoscopic-assisted adenoidectomy with conventional method. Int J Clin Rhinology 2011; 4 (02) 75-78