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Updated: Aug 15, 2026
Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
Comparison of power-assisted adenoidectomy vs adenoid curette adenoidectomy
P Stanislaw1, P J Koltai, P J Feustel
1Section of Pediatric Otolaryngology, Cleveland Clinic Foundation, OH 44195-001, USA.
Objective:
To compare the safety and efficacy of power-assisted adenoidectomy (PAA) vs adenoid curette adenoidectomy (ACA).
Design:
A prospective randomized study.
Setting:
Children's hospital of a tertiary care medical center.
Patients:
Ninety patients (aged 1-13 years) underwent PAA, and 87 patients (aged 1-12 years) underwent ACA.
Main Outcome Measures:
The parameters evaluated were operative time, blood loss, completeness and depth of resection, injuries to surrounding structures, short- and long-term complications, surgeon satisfaction with the procedure, and parents' assessment of the patient's postoperative recovery period.
Results:
The PAA was 20% faster (P<.001) and had 27% less blood loss (P<.001) than the ACA. It provided a more complete resection(P<.001) and better control of the depth of resection (P<.05). Surgeon satisfaction was greater with PAA (P<.001). There was no difference in the recovery period or parent satisfaction. One patient in the PAA group returned to the operating room for control of postoperative bleeding, and 1 child in the ACA group returned to the hospital for postoperative dehydration.
Conclusion:
The PAA provides a faster, dryer, more complete, and more surgically satisfying resection than the ACA.
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