European Journal of Molecular & Clinical Medicine

Abstract

Objective: This present article is a study with a view to compare the advantages and disadvantages of conventional adenoidectomy with that of endoscopic powered adenoidectomy with a microdebrider.
Methods: A prospective randomized study conducted at a tertiary care teaching hospital. Fifty patients with  symptoms pertaining to chronic adenoid hypertrophy and requiring adenoidectomy were chosen and divided into 2 groups of 25 each. Patients in group A underwent conventional curettage adenoidectomy and those in group B underwent endoscopic microdebrieder method. Outcomes measured were intra operative blood loss, completeness of removal, postoperative pain, intra operative and post-operative complications and recurrence of symptoms.
Results: Mean intra-op blood loss was greater in conventional group. The powered procedure fared significantly better, with lower pain scores and more instances of complete tissue resection. Post op complications were found more in the conventional group.
Conclusion: Our study concluded that endoscopic assisted microdebrider adenoidectomy not only provides good visualization of the surgical field to the surgeon, but is also associated with a reduction in intra operative bleeding, post-operative pain as well as reduced incidence of recurrence of symptoms, have less chances of remnant adenoid tissues and  provide a much more complete, sophisticated and morbidity free technique for performing adenoidectomy vis-à-vis the conventional blind procedure of adenoidectomy but is a more time consuming, expensive and technologically challenging procedure.