Skip to main content
The Egyptian Journal of Otolaryngology
Download PDF
  • Original article
  • Open access
  • Published:

Microdebrider-assisted powered adenoidectomy: a prospective study

The Egyptian Journal of Otolaryngology volume 35, pages 37–40 (2019)Cite this article

Abstract

Objective

To assess the use of powered instrumentation and endoscopes to evaluate the efficacy and safety of this procedure in comparison to classic adenoidectomy using an adenoid curette.

Patients and Methods

A prospective study performed at the Department of Otolaryngology, Head and Neck Surgery in Jazan General Hospital, Kingdom of Saudi Arabia. It includes 70 patients subjected to adenoidectomy who were divided into two equal groups: conventional curette adenoidectomy (CCA) group and microdebrider-assisted powered adenoidectomy (MPA) group. Both groups were assessed for operative time, average operative blood loss, duration of postoperative pain, return to normal diet and activities.

Results

There was no statistical significance between two groups regarding the operative time: the mean operative time in the CCA group was 13.7±3.5 min, while 12.9±4.3 min in the MPA group. The mean operative blood loss in the CCA group was 14.2±3.4 ml, while it was 13.5±2.9 in MPA group without any statically significant difference between the two groups.

Conclusion

MPA proved to be a good alternative to CCA technique as both techniques provide complete adenoid resection with fewer traumas to the adjacent tissue. Level of Evidence: 3b.

References

  1. Gates GA, Muntz HR, Gaylis B. Adenoidectomy and otitis media. Ann Otol Rhinol Laryngol Suppl 1992; 155:24–32.

    Article  CAS  Google Scholar 

  2. Koca CF, Erdem T, Bayındır T. The effect of adenoid hypertrophy on maxillofacial development: an objective photographic analysis. J Otolaryngol Head Neck Surg 2016; 45:48.

    Article  Google Scholar 

  3. Yang L, Shan Y, Wang S, Cai C, Zhang H. Endoscopic assisted adenoidectomy versus conventional curettage adenoidectomy: a meta-analysis of randomized controlled trials. Springerplus 2016; 5:426.

    Article  Google Scholar 

  4. Somani SS, Naik CS, Bangad SV. Endoscopic adenoidectomy with microdebrider. Indian J Otolaryngol Head Neck Surg 2010; 62:427–431.

    Article  CAS  Google Scholar 

  5. Pagella F, Matti E, Colombo A, Giourgos G, Mira E. How we do it: a combined method of traditional curette and power-assisted endoscopic adenoidectomy. Acta Otolaryngol 2009; 129:556–559.

    Article  Google Scholar 

  6. Glade RS, Pearson SE, Zalzal GH, Choi SS. Coblation adenotonsillectomy: an improvement over electrocautery technique? Otolaryngol Head Neck Surg 2006; 134:852–855.

    Article  Google Scholar 

  7. Koltai PJ, Chan J, Younes A. Power-assisted adenoidectomy: total and partial resection. Laryngoscope 2002; 112:29–31.

    Article  Google Scholar 

  8. Murray N, Fitzpatrick P, Guarisco JL. Powered partial adenoidectomy. Arch Otolaryngol Head Neck Surg 2002; 128:792–796.

    Article  Google Scholar 

  9. Koltai PJ, Kalathia AS, Stanislaw P, Heras HA. Power-assisted adenoidectomy. Arch Otolaryngol Head Neck Surg 1997; 123:685–688.

    Article  CAS  Google Scholar 

  10. Stanislaw P, Koltai PJ, Feustel PJ. Comparison of power-assisted adenoidectomy vs adenoid curette adenoidectomy. Arch Otolaryngol Head Neck Surg 2000; 126:845–849.

    Article  Google Scholar 

  11. Rodriguez K, Murray N, Guarisco JL. Power-assisted partial adenoidectomy. Laryngoscope 2002; 112:26–28.

    Article  Google Scholar 

  12. Gillespie MB, Scarlett M, Ingram F, Hoy M. Value-based approach to power-assisted adenoidectomy. Ann Otol Rhinol Laryngol 2003; 112:606–610.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Otolaryngology-Head & Neck Surgery, Faculty of Medicine, Jazan University, Jazan, P.O. Box: 2585, 45142, Saudi Arabia

    Fahd Alharbi MD

  2. Department of Otolaryngology-Head & Neck Surgery, Faculty of Medicine, Jazan Hospital, Jazan, Saudi Arabia

    Fahd Alharbi MD & Wael Al Juraibi

  3. Department of Otolaryngology-Head & Neck Surgery, Faculty of Medicine, Suez University, Ismailia, Egypt

    Mohammed Rifaat Ahmed

Authors
  1. Fahd Alharbi MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mohammed Rifaat Ahmed
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Wael Al Juraibi
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Fahd Alharbi MD.

Additional information

This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

Rights and permissions

This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Alharbi, F., Ahmed, M.R. & Al Juraibi, W. Microdebrider-assisted powered adenoidectomy: a prospective study. Egypt J Otolaryngol 35, 37–40 (2019). https://doi.org/10.4103/ejo.ejo_70_18

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.4103/ejo.ejo_70_18

Keywords