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

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.