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132887

Comparative study of Adenoidectomy by Endoscopic Transoral Suction Coagulation Versus the Traditional Method

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Last updated: 03 Jan 2025

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Abstract

Background: Adenoidectomy is one of the most common procedures performed by otorhinolaryngologists. Previously, suction cautery was used for haemostasis following curettage adenoidectomy. Whereas more recently, the entire procedure has been performed using this technique, and it has now been accepted as a suitable technique, especially in the pediatric population.
Objective: To compare two different techniques for adenoidectomy, one is traditional adenoidectomy and the other is the endoscopic transoral adenoidectomy by suction diathermy.
Patients and methods: This study included 100 patients (62 males and 38 females) attended to the Otorhinolaryngology Outpatient Clinic of Al-Azhar University Hospital in Assiut and diagnosed as adenoid hypertrophy through the period from November 2019 to March 2020.
Results: The average operative time of traditional method was 9.9 minutes (range: 7 to 12 minutes), which is longer than that of adenoidectomy by suction diathermy where it was7.2 minutes (range: 4 to 10 minutes) also the intra operative blood loss was markedly lower in adenoidectomy by suction diathermy. It was 5.7 ml (range: 3 to 7 ml) while it was 27.3 ml (range: 21 to 32 ml) in the traditional method. Post-operative complications in our study include post-operative hemorrhage, velopharyngeal insufficiency and recurrence, which was higher in the traditional method. Post adenoidectomy healing time was 14 days for the traditional method (range: 13 to15 days), which is shorter than that of suction diathermy where it was 18 days (range: 17 to 20 days).
Conclusion: Adenoidectomy by endoscopic transoral suction diathermy is more safe and effective than adenoidectomy by traditional curatte in treatment of patients with hypertrophied adenoid with less complication.

DOI

10.21608/ejhm.2020.132887

Keywords

Adenoidectomy, Endoscopic Transoral Suction Coagulation, Versus the Traditional Method

Authors

First Name

Abdelaziz

Last Name

Elsherif

MiddleName

-

Affiliation

Department of Otorhinolaryngology, Faculty of Medicine - Al Azhar University-Asyut

Email

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City

-

Orcid

-

First Name

Ahmed Mohamed Nagy

Last Name

Abdul Raaof

MiddleName

-

Affiliation

Department of Otorhinolaryngology, Faculty of Medicine - Al Azhar University-Asyut

Email

dr_ahmednagy95@yahoo.com

City

-

Orcid

-

First Name

Sabry Habashy

Last Name

Issa

MiddleName

-

Affiliation

Department of Otorhinolaryngology, Faculty of Medicine - Al Azhar University-Asyut

Email

-

City

-

Orcid

-

Volume

81

Article Issue

7

Related Issue

19561

Issue Date

2020-10-01

Receive Date

2020-12-27

Publish Date

2020-10-01

Page Start

2,405

Page End

2,409

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 81_Issue 7_Pages 2405-2409.pdf

PDF . 468.8kB

Link

https://ejhm.journals.ekb.eg/article_132887.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=132887

Order

18

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Comparative study of Adenoidectomy by Endoscopic Transoral Suction Coagulation Versus the Traditional Method

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Article

Created At

22 Jan 2023