Changing Trends in Adenoidectomy

Abstract

Adenoid hypertrophy treatment is must to alleviate chronic nasal obstruction, mouth breathing, rhinosinusitis and eustachian tube dysfunction. For proper management of this clinical entity a thorough clinical examination along with radiological and endoscopic evaluation is mandatory. Although, few children having adenoid hypertrophy respond to medical treatment, surgery remains the mainstay. An adenoidectomy can be performed by variety of techniques. Conventional adenoidectomy is by the curettage method, still practiced in many institutions, though, a recent technique of endoscopic assisted adenoidectomy by microdebrider is also getting popularized. Both the techniques have their own merits and demerits. However, which of the two surgical techniques is better, is still a matter of preference and experience of the surgeon with the technique. In the present study we will compare the conventional curettage adenoidectomy with endoscopically assisted adenoidectomy done with microdebrider in 40 pediatric patients of adenoid hypertrophy.

Keywords: Adenoidectomy; Compare; Endoscopically; Microdebrider.

Fig. 1

Clinical features

Fig. 2

Grade III adenoid hypertrophy

Fig. 3

Comparison of intra-operative time

Fig. 4

Comparison of primary bleeding

Fig. 5

Comparison of completeness of removal on nasal endoscopy

Fig. 6

Partial removal

Fig. 7

Complete adenoid removal

Fig. 8

Comparison of pain score in two groups

Fig. 9

Comparison of recovery in two groups