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Adenoidectomy: comparison between the conventional curettage technique and the coblation technique in pediatric patients
The Egyptian Journal of Otolaryngology volume 32, pages 152–155 (2016)
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Abstract
Objective
The aim of this study was to compare the advantages and disadvantages of the coblation technique with the standard conventional curettage technique in the operation of adenoidectomy in pediatric patients.
Study design
This was a prospective randomized clinical study.
Patients and methods
From January 2010 to December 2014, 200 patients presented with obstructive adenoid hypertrophy. Their ages ranged between 3 and 10 years. The patients were classified randomly into two equal groups: group A was subjected to conventional curettage adenoidectomy and group B was subjected to coblation-assisted adenoidectomy. Operative time and intraoperative blood loss were recorded. Patients were scheduled for follow-up on the first day and first and second postoperative weeks. They were asked to record their pain and discomfort on a standardized Wong–Baker faces pain rating scale from 0 (no pain) to 10 (severe pain). Postoperative complications and/or recurrences were also recorded. Follow-up was for at least 1 year, with re-examination of the nasopharynx by means of endoscopy and/or lateral nasopharyngeal radiography.
Results
The conventional curettage adenoidectomy group recorded significantly less operative time and the coblation-assisted adenoidectomy group recorded significantly less intraoperative blood loss and also lower incidences of postoperative bleeding and adenoid recurrence. Both groups demonstrated insignificant difference as regards postoperative pain.
Conclusion
The use of the coblation technology in adenoidectomy gave more advantage to the procedure with regard to less intraoperative blood loss and lower incidences of postoperative bleeding and recurrence rate.
References
Thornval A. Wilhelm Meyer and the adenoids. Arch Otolaryngol 1969;90(3):383–386.
Havas T, Lowinger D. Obstructive adenoid tissue: an indication for powered-shaver adenoidectomy. Arch Otolaryngol Head Neck Surg 2002;128(7):789–791.
Hall MJ, Lawrence L. Ambulatory surgery in the United States, 1996. Adv Data 1998; 300: 1–16.
Shapiro NL, Bhattacharyya N. Cold dissection versus coblation-assisted adenotonsillectomy in children. Laryngoscope 2007;117(3):406–410.
Somani SS, Naik CS, Bangad CV. Endoscopic adenoidectomy with microdebrider. Indian J Otolaryngol Head Neck Surg 2010; 62: 427–431.
Hartley BE, Papsin BC, Albert DM. Suction diathermy adenoidectomy. Clin Otolaryngol Allied Sci 1998;23(4):308–309.
Isaacson G, Szeremeta W. Pediatric tonsillectomy with bipolar electrosurgical scissors. Am J Otolaryngol 1998;19(5):291–295.
Palmer JM. Bipolar radiofrequency for adenoidectomy. Otolaryngol Head Neck Surg 2006;135(2):323–324.
Martinez SA, Akin DP. Laser tonsillectomy and adenoidectomy. Otolaryngol Clin North Am 1987;20(2):371–376.
Murray N, Fitzpatrick P, Guarisco JL. Powered partial adenoidectomy. Arch Otolaryngol Head Neck Surg 2002;128(7):792–796.
Songu M, Altay C, Adibelli ZH, Adibelli H. Endoscopic-assisted versus curettage adenoidectomy: a prospective, randomized, double-blind study with objective outcome measures. Laryngoscope 2010;120(9):1895–1899.
Timms MS, Ghosh S, Roper A. Adenoidectomy with the coblator: a logical extension of radiofrequency tonsillectomy. J Laryngol Otol 2005;119(5):398–399.
Di Rienzo Businco L, Angelone AM, Mattei A, Ventura L, Lauriello M. Paediatric adenoidectomy: endoscopic coblation technique compared to cold curettage. Acta Otorhinolaryngol Ital 2012;32(2):124–129.
Özkiriş M, Karaçavuş S, Kapusuz Z, Saydam L. Comparison of two different adenoidectomy techniques with special emphasize on postoperative nasal mucociliary clearance rates: coblation technique vs. cold curettage. Int J Pediatr Otorhinolaryngol 2013;77(3):389–393.
Walner DL, Parker NP, Miller RP. Past and present instrument use in pediatric adenotonsillectomy. Otolaryngol Head Neck Surg 2007;137(1):49–53.
Wong DL, Baker CM. Pain in children: comparison of assessment scales. Pediatr Nurs 1988;14(1):9–17.
Regmi D, Mathur NN, Bhattarai M. Rigid endoscopic evaluation of conventional curettage adenoidectomy. J Laryngol Otol 2011;125(1):53–58.
Emerick KS, Cunningham MJ. Tubal tonsil hypertrophy: a cause of recurrent symptoms after adenoidectomy. Arch Otolaryngol Head Neck Surg 2006;132(2):153–156.
Migita M, Gocho Y, Ueda T, Saigusa H, Fukunaga Y. An 8-year-old girl with a recurrence of obstructive sleep apnea syndrome caused by hypertrophy of tubal tonsils 4 years after adenotonsillectomy. J Nippon Med Sch 2010;77(5):265–268.
Khafagy YW, Mokbel KM. Choanal adenoid in adults with persistent nasal symptoms: endoscopic management to avoid misdiagnosis and unsuccessful surgeries. Eur Arch Otorhinolaryngol 2011;268(11):1589–1592.
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El Tahan, A.E.R., Elzayat, S. & Hegazy, H. Adenoidectomy: comparison between the conventional curettage technique and the coblation technique in pediatric patients. Egypt J Otolaryngol 32, 152–155 (2016). https://doi.org/10.4103/1012-5574.186528
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DOI: https://doi.org/10.4103/1012-5574.186528