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Corresponding Author

Mohammed Nasser Nasrallah Eid

Document Type

Original Article

Abstract

Background: Adenoidectomy ranks high among the many surgical procedures done on pediatric patients. For kids having an adenoidectomy, the leading cause of complications, particularly in the immediate aftermath of the procedure, is after surgery bleeding, regardless of the distance surgical procedures have come.

Objectives: This study set out to compare and contrast standard adenoidectomy with endoscopic suction coagulation, two methods of adenoidectomy that have been around for a while regarding tympanometric alterations, after-surgery recurrent grading, and overall effectiveness.

Patients and Methods: Researchers conducted a prospective study on seventy patients with adenoid hypertrophy symptoms, including stuffy nose, mouth breathing, and bilateral recurrent otitis media with effusion. Radiological evidence, clinical symptoms, and nasal endoscopic examination lead to the diagnosis of adenoidal enlargement in all instances. Group A used a cold method, whereas Group B underwent the procedure using an endoscopic suction coagulator. Pre- and post-operatively, an audiologist evaluated the patient as well.

Results: The mean age of Group A was 6.57 ±2.8, ranging from 3 to 12 years. Group B's mean was 7 ±2.8, ranging from three to 12 years. Both groups have significant differences in operative timing, intraoperative bleeding, and recurrence rate. There are also significant relief results from the tympanographic data of included patients, comparing preoperative and postoperative data separately.

Conclusion: It is concluded that endoscopic suction coagulation adenoidectomy has an advantage over adenoidectomy using the cold technique. It was more efficacious and safer, with less morbidity and rapid recovery.

Keywords

Adenoidectomy; Cold dissection; Suction coagulation

Subject Area

ENT

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