Pediatric Adenoidectomy: A Comparative Study Between Cold Curettage and Coblation Technique.

Area of Science:

• Otolaryngology
• Pediatric Surgery
• Minimally Invasive Procedures

Background:

• Adenoidectomy is a common surgical procedure in pediatric patients.
• Traditional cold curettage adenoidectomy carries risks of bleeding and incomplete removal.
• Coblation adenoidectomy presents a potentially safer and more effective alternative.

Purpose of the Study:

• To compare the safety and efficacy of endoscopic coblation adenoidectomy versus conventional cold curettage adenoidectomy in children.
• To evaluate key surgical and post-operative outcomes for both procedures.

Main Methods:

• A comparative study involving 40 pediatric patients (aged 4-17 years).
• 20 patients underwent cold curettage adenoidectomy, and 20 underwent coblation adenoidectomy.
• Outcomes assessed included surgical duration, blood loss, post-operative pain (Visual Analogue Scale), and post-operative nasal endoscopy findings at 1 week and 1 month.

Main Results:

• Coblation adenoidectomy demonstrated significantly less intra-operative blood loss (19 mL vs. 28.5 mL) and lower post-operative pain scores (median VAS 2 vs. 2.67).
• Conventional cold curettage had a shorter mean operative time (10.3 min vs. 15.5 min).
• Peripheral tissue injury and residual adenoid tissue were observed in the cold curettage group.

Conclusions:

• Coblation adenoidectomy is superior in reducing intra-operative bleeding and post-operative pain.
• This technique ensures more precise adenoid removal with minimal damage to adjacent structures.
• Endoscopic coblation adenoidectomy is recommended as the standard technique for improved patient outcomes.