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Published on: November 6, 2019
Paediatric adenoidectomy: endoscopic coblation technique compared to cold curettage.
L Di Rienzo Businco1, A M Angelone, A Mattei
1Department of Otorhinolaryngology, "S. Spirito" Hospital, Rome, Italy. ldirienzo@businco.net
Summary
Endoscopic coblator adenoidectomy offers superior pain relief and faster recovery for children compared to cold curettage. This method ensures complete adenoid removal with less bleeding and improved airflow.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Minimally Invasive Surgery
Background:
- Adenoid hypertrophy is a common condition in children, often leading to significant respiratory and sleep disturbances.
- Current surgical options for adenoidectomy include cold curettage and coblation, each with distinct recovery profiles.
Purpose of the Study:
- To compare the efficacy and safety of endoscopic coblator adenoidectomy versus cold curettage in pediatric patients.
- To evaluate postoperative outcomes including pain, recovery time, and adenoid remnant presence.
Main Methods:
- A randomized study involving 40 pediatric patients (4-16 years) with adenoid hypertrophy.
- Patients were divided into two groups: cold curettage (Group A) and coblator adenoidectomy (Group B).
- Outcomes assessed included pain scores, analgesic use, diet duration, school absence, fever, bleeding, and rhinomanometry post-surgery.
Main Results:
- The coblator group experienced significantly less pain, shorter recovery periods (fewer days with pain, liquid diet, and school absence), and reduced analgesic requirements.
- Cold curettage resulted in higher rates of adenoid persistence, indicated by persistent nasal obstruction on rhinomanometry.
- Intraoperative bleeding was significantly lower in the coblator group.
Conclusions:
- Endoscopic coblator adenoidectomy provides a safer and more effective treatment for pediatric adenoid hypertrophy compared to cold curettage.
- This technique ensures complete adenoid tissue removal, reduces postoperative complications, and improves nasal airflow.
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