Endoscopic assisted transoral endonasal adenoidectomy using microdebrider vs coblator : A comparative study

Adenoidectomy is one of the most common procedures performed in paediatric otorhinolaryngology either alone or in conjunction with tonsillectomy or insertion of ventilation tubes or grommets. Although adenoidectomy is conventionally

done by curettage method by curetting the adenoid tissue blindly using St. Clair Thompson adenoid curette, newer methods including the use of suction diathermy, electrocautery, laser, coblation and endoscopic adenoidectomy is gaining popularity in modern times. Of these endoscopic adenoidectomy using power assisted Microdebrider adenoidectomy and Coblation adenoidectomy are the two new techniques available for adenoidectomy these days and are most commonly practiced in recent times. The advantages of endoscopic power assisted adenoidectomy over cold steel adenoidectomy has been well established in the literature. As adenoidectomy is one of the common paediatric surgical procedure there is always a concern to improve the outcomes and make postoperative experience more pleasant for the paediatric population. This study will look into the clinical outcomes following endoscopic assisted adenoidectomy by comparison between the two surgical methods by parameters like intraoperative time, intra-operative blood loss and post-operative pain, recovery time (ability to take solid food), residual tissue, post operative clinical improvement in breathing impact on hearing between the two methods.