Keywords
Adenoids
Endoscopy
microdebrider
conventional
How to Cite
Abstract
Objective: To compare mean intraoperative blood loss, mean operative time, and frequency of post-operative adenoid remnant with ‘‘conventional curettage adenoidectomy” versus “endoscopic assisted microdebrider adenoidectomy”.
Methods: This cross-sectional study was conducted at the Department of ENT - Head and Neck Surgery, KRL Hospital, Islamabad, from February 2023 to December 2023. 40 patients of both genders with adenoidal hypertrophy aged 5 to 12 years of age were included. In group-C, adenoidectomy was performed by the conventional curettage method, while in group-E ‘‘endoscopic assisted microdebrider adenoidectomy” was performed. Intraoperative blood loss and duration of surgery were noted. One month post-operatively, patients were assessed for adenoid remnant by nasal endoscopy.
Results: This study includes 23 males and 17 females. The age range was 5 -12 years. The mean duration of surgery was 27.75 ± 3.67 min and 39.10 ± 4.24 min in Group C and Group E, respectively. Mean intra-operative blood loss was 20.25 ± 3.04 ml and 28.90 ± 4.44 ml in Group C and Group E, respectively. The frequency of postoperative adenoid remnant was 45.0 % and 15.0% in Group C and Group E, respectively.
Conclusion: Both techniques are effective and safe for adenoidectomy. However, the chances of adenoid remnant are lower in ‘‘endoscopic assisted microdebrider adenoidectomy”.
Key words: Adenoidectomy, Adenoids, Operative time, Hemorrhage, Nasopharynx.
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