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Endoscopic-Assisted Adenoidectomy by Microdebrider Versus Coblation in Children.

Hesham Abdelsalam1,2, Mohamed Abdalla1, Najlaa Aied2,3

  • 1Department of Otorhinolaryngology, Faculty of Medicine, Al-Azhar University, Cairo 11675, Egypt.

Medicina (Kaunas, Lithuania)
|June 26, 2026
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Summary

Endoscopic adenoidectomy using a microdebrider or coblation is safe and effective in children. The microdebrider technique offers a shorter operative time with similar pain, complications, and recurrence rates compared to coblation.

Keywords:
adenoid hypertrophyadenoidectomyendoscopicmicrodebrider

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Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Minimally Invasive Procedures

Background:

  • Adenoidectomy is a common pediatric surgery.
  • Endoscopic techniques like microdebrider and coblation aim to improve outcomes over traditional methods.
  • These advanced techniques may reduce pain, bleeding, and recurrence rates.

Purpose of the Study:

  • To compare the clinical outcomes and safety of endoscopic-assisted adenoidectomy using a microdebrider versus coblation in pediatric patients.
  • To evaluate operative time, pain, complications, and long-term efficacy between the two techniques.

Main Methods:

  • A retrospective comparative cohort study of 50 children undergoing endoscopic-assisted adenoidectomy.
  • Patients were divided into two groups: microdebrider (n=25) and coblation (n=25).
  • Data collected included operative time, 24-hour pain scores, early complications, and 6-month endoscopic assessment.

Main Results:

  • Mean operative time was significantly shorter with the microdebrider (24.9 min) compared to coblation (31.1 min) (p=0.004).
  • No significant difference in 24-hour pain scores (VAS) was observed between the groups (p=0.191).
  • Early complication rates and 6-month endoscopic findings showed no statistically significant differences between the microdebrider and coblation techniques.

Conclusions:

  • Both microdebrider and coblation endoscopic adenoidectomy are safe and effective in pediatric patients.
  • The microdebrider technique demonstrated a shorter operative time in this study.
  • Similar rates of early pain, short-term complications, and 6-month residual/recurrent adenoid tissue were found for both methods.