Related Experiment Video
Updated: Jul 17, 2026
06:13
Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Combined Conventional and Endoscopic Microdebrider-Assisted Adenoidectomy: A Tertiary Centre Experience
Amal T Das1, S B Prakash2, V Priyadarshini1
1Assistant Professor, Department of ENT and HNS, DM Wayanad Institute of Medical Sciences , Wayanad, Kerala, India .
Journal of Clinical and Diagnostic Research : JCDR
|April 8, 2017
Summary
This study shows that combining conventional adenoidectomy with endoscopic microdebrider-assisted adenoidectomy safely and effectively removes all adenoid tissue in children. Patients experienced complete symptom resolution and no major complications.
Area of Science:
- Otolaryngology
- Pediatric Surgery
Background:
- Adenoidectomy is a common pediatric surgery.
- Conventional methods can lead to incomplete tissue removal and persistent symptoms.
- Endoscopic microdebrider-assisted adenoidectomy offers improved visualization and precision.
Purpose of the Study:
- To evaluate the safety and efficacy of a combined conventional and endoscopic microdebrider-assisted adenoidectomy.
- To assess the completeness of adenoid tissue removal.
- To analyze post-operative outcomes and complications.
Main Methods:
- A prospective study of 60 children with Grade 3 and 4 Adenoid Hypertrophy (AH).
- Patients underwent a combined conventional and endoscopic microdebrider-assisted adenoidectomy.
- Adenoid tissue removal was graded, and post-operative symptoms, complications, surgery duration, and blood loss were recorded.
Main Results:
- Complete adenoid tissue clearance (100%) was achieved in all patients.
- Pre-operative symptom scores significantly improved from 3.7 to 0 at one month and one year post-surgery.
- The combined procedure had minimal blood loss (15±3 ml) and no major complications.
Conclusions:
- The combined approach ensures complete and accurate removal of large adenoids.
- This technique is safe and effective for pediatric adenoidectomy.
- It leads to significant and lasting symptom improvement in children.
