COMPARATIVE STUDY BETWEEN CONVENTIONAL ADENOIDECTOMY AND POWERED- SHAVER ADENOIDECTOMY

Abstract

Adenoid hypertrophy is known as the most common cause of nasal obstruction in children; thus, adenoidectomy with or without tonsillectomy is one of the most commonly performed surgical procedure in the paediatric population. Sequelae include mouth breathing and rhinorrhea, sleep-disordered breathing, speech anomalies, feeding difficulties, chronic sinusitis, and craniofacial growth anomalies. The widely used conventional curette adenoidectomy was first described, Dissatisfaction with this technique has prompted the use of other methods, including powered- shaver adenoidectomy. Forty patients were studied and were diagnosed depending on clinical examination and radiological investigation. The patients were operated by either conventional or powered-shaver adenoidectomy, divided into 2 groups, group A patients who underwent conventional adenoidectomy, while group B patients who underwent powered shaver adenoidectomy. The intra-operative parameters studied were operative time, primary bleeding, completeness of removal of adenoid. Post-operative parameters included assessment of post-operative pain and recovery time. The results show that powered shaver adenoidectomy is a safe and effective alternative to curette adenoidectomy.