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Evaluating a Modified Coblation Technique in Adenoidectomy: A Single-Blind Randomized Study.

Necdet Özçelik1, Aslı Çakır2, Elvin Alaskarov1

  • 1Department of Otorhinolaryngology Istanbul Medipol University Health Care Practice and Research Center Esenler Hospital Istanbul Turkey.

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|September 26, 2025
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Summary
This summary is machine-generated.

The modified In Saline Coblation Adenoidectomy (ISCA) technique significantly reduces operative time and improves tissue preservation in pediatric patients compared to conventional coblation adenoidectomy (CCA). ISCA offers better clinical outcomes with less thermal injury and fewer complications.

Keywords:
adenoidectomycoblationhistopathologypediatric surgerysaline irrigationsurgical innovationthermal injurywand clogging

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Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Minimally Invasive Procedures

Background:

  • Adenoidectomy is a common pediatric surgical procedure.
  • Conventional coblation adenoidectomy (CCA) can be associated with inefficiencies and thermal injury.
  • A modified technique, In Saline Coblation Adenoidectomy (ISCA), was developed to potentially improve outcomes.

Purpose of the Study:

  • To compare the clinical and histopathological advantages of ISCA versus CCA in pediatric patients.
  • To evaluate intraoperative efficiency, tissue preservation, and postoperative outcomes.
  • To assess the impact on operative time, blood loss, pain, and complications.

Main Methods:

  • A prospective, randomized, single-blind trial involving 50 pediatric patients.
  • Patients were divided into two groups: CCA (n=25) and ISCA (n=25).
  • Data collected included operative time, blood loss, postoperative pain, wand issues, histopathological analysis, and long-term follow-up for recurrence and complications.

Main Results:

  • ISCA significantly reduced operative time (24±5.8 min) compared to CCA (33±8.5 min) (P<.05).
  • Histopathological analysis showed greater epithelial preservation (92%) and reduced carbonization in ISCA (P<.001).
  • Wand tip clogging, secondary wand use, transient velopharyngeal insufficiency, and localized infection occurred exclusively in the CCA group.

Conclusions:

  • ISCA offers significant clinical advantages over CCA, including improved procedural efficiency and reduced collateral thermal injury.
  • The technique minimizes wand-related delays and complications associated with conventional coblation.
  • ISCA is recommended for wider adoption in high-volume pediatric otolaryngology settings due to its superior outcomes.