A comparative study of conventional curettage adenoidectomy versus endoscopic microdebrider-assisted adenoidectomy in children

Introduction: Adenoid hypertrophy or chronic adenoiditis may cause significant problems requiring adenoidectomy. Patients with chronic adenoid hypertrophy causing craniofacial morphology problems, excessive snoring, or possibly quality of life issues are candidates for adenoidectomy. The aim of this study is to compare the advantages of endoscopic-assisted microdebrider adenoidectomy in comparison with conventional curettage adenoidectomy. Materials and Methods:A prospective study of patients undergoing adenoidectomy was performed in the Department of ENT, Head and Neck Surgery at Tertiary center from January 2018 to October 2019. Results: Fifty patients of adenoid hypertrophy underwent adenoidectomy (25 patients in Group I and 25 patients in Group II). The groups were almost similar in age and sex. The mean operative time was 15 min 60 s in Group I and 12 min 56 s in Group II. The average blood loss was 31 ml in Group I and 28.60 ml in Group II. The residual adenoid tissue and complications were present in eight and three patients in Group I, respectively. Conclusion: The endoscopic-assisted adenoidectomy is minimally invasive. Intraoperative bleeding, duration of surgery, and complication were less in endoscopic-assisted adenoidectomy as comparison to conventional curettage method.