A comparative study of endoscopic assisted curettage adenoidectomy with conventional adenoidectomy

Background: In ENT adenoidectomyis a commonly performed surgery. It is conventionally done using the curettagemethod. This present study aims to evaluate endoscopicassisted curettage adenoidectomyas an alternative. Methods: The present study consisted of forty cases requiring adenoidectomywere divided into two groups of twenty each. In Group A adenoidectomywas done by conventional curettagemethod and in Group B by endoscopicassisted micro-debrider adenoidectomy. The parameters studied between two groups were intra-operative time, intra-operative bleeding and completeness of resection .The study period was from June 2015 to December 2016. Results: The average time taken in Group A (conventional surgery) was 5.30 minutes and in Group B (powered endoscopicsurgery) was 12.30 minute. The average blood loss in Group A was 35 ml (range 10–50) as compared to 30 ml in Group B. Nearly 25 % of the patients who underwent endoscopicassisted adenoidectomyhad grade II adenoids. About 30% of the patients who underwent conventional adenoidectomyhad Grade III adenoids. A total of 10% of the patients developed primary haemorrhage which was more in conventional adenoidectomy(15%) as compared to endoscopic adenoidectomy(5%). Conclusions: Endoscopicassisted microdebrider adenoidectomywas found to be a safe and effective tool for adenoidectomy. Endoscopic adenoidectomybetter for completeness of resection, accurate resection under vision. On the other hand, in conventional adenoidectomyoperative time and intra-operative bleeding was less.