A descriptive study comparing the surgical outcomes between power-assisted adenoidectomy and conventional surgical methods

  • Dr. Milind M. Navalakhe Associate Professor, Department of ENT, B.Y.L. Nair Charitable Hospital and T. N. Medical College, Mumbai Central, Mumbai, India
  • Dr. Dilesh A. Mogre Resident, Department of ENT, B.Y.L. Nair Charitable Hospital and T. N. Medical College, Mumbai Central, Mumbai, India
DOI: https://doi.org/10.17511/jooo.2019.i02.02
Keywords: Adenoidectomy, Conventional Curettage, Endoscopic surgical procedure, Power assisted adenoidectomy

Abstract

Objective:To study the surgical outcomes between power assisted and conventional curettage adenoidectomy.And to perform retrospective analysis by comparing the two surgical methods on the basis of duration of surgery, intra-operative blood loss, postoperative complications like bleeding and associated trauma.

Design:A retrospective and prospective study of 100 cases was performed in a tertiary care teaching hospital in Mumbai. Over 1 year and 8 months. The mean operative time was faster in conventional method (p<0.0001). Subjects:100 cases.

Methods: After selection of cases retrospective assessment of peri-operative conditions were obtained from case records duration of surgery, Intraoperative blood loss, Postoperative complications. The same cases were called for prospective analysis data on long-term postoperative outcome was obtained by using ‘Paediatric Throat Disorders Outcome Test’

Result:Our 100 patients ranged from 4 to 27 years with mean age of 10.43 years with SD of 4.24 F : M ratio was 1.17. The operative blood loss between two groups was not statistically significant (p=0.4901). The symptomatic relief after conventional surgery and power assisted method was statistically significant (p < 0.0001). There was no statistical significance between outcomes of both methods.

Conclusions: Our study shows that the power assisted adenoidectomy was a safe, well tolerated procedure and an useful tool for adenoidectomy with disadvantages of high cost. Conventional adenoidectomy with a curette is safe, fast and economical. It fails to obtain complete tissue removal and thus is less effective than the power assisted techniques.

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A descriptive study comparing the surgical outcomes between power-assisted adenoidectomy and conventional surgical methods
CITATION
DOI: 10.17511/jooo.2019.i02.02
Published: 2019-06-30
How to Cite
M. Navalakhe, M., & A. Mogre, D. (2019). A descriptive study comparing the surgical outcomes between power-assisted adenoidectomy and conventional surgical methods. Tropical Journal of Ophthalmology and Otolaryngology, 4(2), 71-79. https://doi.org/10.17511/jooo.2019.i02.02
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Vol 4 No 2 (2019): Apr-Jun
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Original Article

Copyright (c) 2019 Author (s). Published by Siddharth Health Research and Social Welfare Society

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