INTRODUCTION:
Adenoidectomy is one of the most frequently performed surgeries worldwide. Since the earliest descriptions of adenoidectomy, numerous techniques have been described and used successfully either used alone or in combinations. With the development of endoscopic sinus surgery instrumentation, the standard surgical procedure using an adenoid curette has advanced, improving patient outcomes and increasing surgeon satisfaction. All techniques are based on the principle of the adequate removal of the adenoids without damage to the surrounding structures, such as the torus tubarus, the palate, the posterior pharyngeal wall, and the choana. Dissatisfaction with the traditional adenoidectomy due to inadequate removal of the adenoid tissue and poor visualization, as well as the significant advancement in fiberoptic and endoscopic instruments, both contributed to the development of alternative adenoidectomy techniques, such as endoscopic guided and power aided techniques. Recent studies have revealed that when choosing a technique for an adenoidectomy, effectiveness is the most crucial consideration and the cost is the least crucial. There are numerous adenoidectomy techniques, however, few studies compare more than two different types of instruments in a single analysis.