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Comparative analysis of conventional cold curettage versus endoscopic assisted coblation adenoidectomy

Published online by Cambridge University Press:  19 March 2019

R Bidaye ,
N Vaid  and
K Desarda
R Bidaye*
Affiliation:
ENT Department, KEM Hospital, Pune, India
N Vaid
Affiliation:
ENT Department, KEM Hospital, Pune, India
K Desarda
Affiliation:
ENT Department, KEM Hospital, Pune, India
*
Author for correspondence: Dr Rohan Bidaye, ENT Department, KEM Hospital, Rasta Peth, Pune 411011, India E-mail: dr.rohanbidaye@gmail.com
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Abstract

Objective

To compare conventional cold curettage adenoidectomy with endoscopic assisted coblation adenoidectomy in terms of operative time, primary blood loss, post-operative residual tissue and post-operative pain.

Methods

This prospective non-randomised study was carried out on 60 patients aged 5–12 years. One group underwent conventional cold curettage adenoidectomy and the other underwent endoscopic assisted coblation adenoidectomy, with 30 patients per group.

Results

Mean operation duration was significantly higher for endoscopic assisted coblation adenoidectomy. Mean blood loss was 44.33 ml in conventional cold curettage adenoidectomy and 32.47 ml in endoscopic assisted coblation adenoidectomy. The pain grade was significantly lower in endoscopic assisted coblation adenoidectomy. Forty per cent of patients who underwent conventional cold curettage adenoidectomy had adenoid tissue post-surgery, while it was completely absent in endoscopic assisted coblation adenoidectomy patients.

Conclusion

Coblation adenoidectomy has significant advantages over conventional adenoidectomy in terms of reduced blood loss, no post-operative residual tissue and lower pain grade on day 1 after surgery.

Keywords

AdenoidectomyCoblationCold CurettageAdenoidsPainBlood Loss
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 4 , April 2019 , pp. 294 - 299
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Dr R Bidaye takes responsibility for the integrity of the content of the paper

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