Outcomes of endoscopic guided adenoidectomy versus conventional adenoidectomy

Abstract

: Adenoidectomy is one of the most common surgical procedures performed on children. Conventional curettage adenoidectomy is a low-cost procedure that is still widely practised, particularly in developing nations. To compare conventional curettage adenoidectomy and endoscopic-assisted powered adenoidectomy using a microdebrider. Consecutive cases for Conventional Adenoidectomy (Group I) and Endoscopic Assisted Adenoidectomy (Group II) were taken from cases undergoing adenoidectomy, with each group consisting of 20 patients. The operating time and postoperative pain score were measured and compared between the two groups. Patients were evaluated at the first and sixth weeks to measure subjective improvement of symptoms , DNE was performed to evaluate remaining adenoid tissue and scarring of adjacent structures. The total operating time in groups I and II was 13 minutes (range: 10-15 minutes) and 21 minutes (range: 15-25 minutes), respectively. In 12 cases, remnent adenoid tissue ranged from 25 to 50%. Ten of them received conventional adenoidectomy. Group I experienced significantly higher postoperative pain than group II. Endoscopic adenoidectomy is a safe and effective alternative to conventional curettage. It favours consistent restoration of nasopharyngeal patency, improved haemostasis, and reduced postoperative pain.