Online ISSN: 2515-8260

Keywords : Adenoidectomy

To assess the impact of coblation in minimising adenoidectomy discomfort and morbidity

Dr. Saket Gupta, Dr. Rajeev Kumar Nishad, Dr. Suryakant Shukla, Dr. Reetu Verma

European Journal of Molecular & Clinical Medicine, 2023, Volume 10, Issue 1, Pages 3578-3582

The study's goal is to assess the impact of coblation on minimising adenoidectomy discomfort and morbidity.
Material and methods: The ENT department performed this retrospective observational analysis. The study included 100 young people who underwent coblation adenoidectomy. A 0° endoscope was passed after nasal decongestion with 4% xylocaine and adrenaline solution. The adenoids and nasal cavity were examined. A Boyle Davis mouth gag was employed, as well as Coblation technology with ProciseTM XP or ProciseTM MAX tips, to remove adenoid tissue and achieve hemostasis at the same time.
Results: Patients' pre-operative symptoms of disrupted sleep are compared to their post-operative sleep. All 100 patients had disrupted sleep before surgery; however, only 13 experienced disturbed sleep in the early post-operative period, while the other 87 had pleasant sleep. Post-operative discomfort following coblation adenoidectomy was assessed both immediately after surgery and one week later. 75% of patients reported no pain in the immediate post-operative period, and 91% reported no discomfort when they returned to the hospital for the first time one week following surgery. In our study, we counted the number of upper respiratory infections that occurred after coblation adenoidectomy. Within the first year, 71 (71%) of patients had no episodes of nasopharyngeal infection. Within the first year, 29 individuals (29%) developed infections.
Conclusion: We conclude that the endoscopic assisted coblation adenoidectomy is a safe and effective method of adenoidectomy.

A comparison of traditional curettage adenoidectomy vis-à-vis endoscopically assisted powered adenoidectomy

Dr.Anannya Tripathy, Dr.James Thomas, Dr.Lakshmi Krishnan , Dr.Harsh Singh , Dr.Girija Ghate

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 7486-7499

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.

Pediatric RhinosinusitisDiagnosis and Management

Dr.MMeena Kumar; Dr.Sowjanya Kumari

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 6, Pages 1683-1693

Background: In children, an inflammatory illness known as paediatric chronic rhinosinusitis (CRS) can affect both the nose and the paranasal sinuses. The presence of two or more of the following symptoms, nasal blockage, face pain, purulent rhinorrhea or cough for at least 12 weeks is required in order to make a diagnosis of paediatric CRS