A Comparative Study of Endoscopic Assisted Powered Adenoidectomy Versus Conventional Adenoidectomy

Area of Science:

• Otorhinolaryngology
• Pediatric Surgery

Background:

• Adenoidectomy is a common pediatric surgical procedure.
• Adenoid hypertrophy can cause significant health issues in children.

Purpose of the Study:

• To compare endoscopic powered adenoidectomy with conventional curettage adenoidectomy.
• To evaluate intraoperative and postoperative outcomes for both methods.

Main Methods:

• A prospective observational randomized study involving 50 children (5-13 years) with adenoid hypertrophy.
• Patients were divided into two groups: conventional adenoidectomy (Group A) and endoscopic powered adenoidectomy (Group B).
• Key metrics included operative time, bleeding, completeness of resection, depth of resection, collateral damage, postoperative pain, and recovery time.

Main Results:

• Endoscopic powered adenoidectomy showed a statistically significant improvement in completeness of resection, depth control, and reduced collateral damage.
• Postoperative recovery was faster in the endoscopic group (3.06 days vs. 4.93 days).
• The study noted significant differences in operative time and blood loss between the two groups.

Conclusions:

• Endoscopic powered adenoidectomy is a safe and effective technique for adenoid removal in children.
• It offers advantages in terms of surgical precision, reduced complications, and faster patient recovery.
• This method represents a valuable advancement in pediatric adenoid surgery.