To compare the intraoperative and postoperative outcomes of conventional adenoidectomy and endoscopic adenoidectomy in children
Adenoidectomy is the surgical removal of hypertrophied adenoids and is one of the most commonly performed otolaryngological procedures worldwide, either alone or in conjunction with tonsillectomy using curette or using the endoscopic allowing direct visualization, hence, better adenoid tissue removal. Given the range of methods available, there is a quest for the most optimal method for complete adenoid removal and better relief of symptoms, with the least number of postoperative complications. To compare between the intraoperative outcomes and postoperative adenoid tissue remnant. To compare between the complications and postoperative improvement in symptoms. Simple randomized prospective study conducted in the tertiary care Centre in Department of Otorhinolaryngology for a period of 18 months. Forty patients between 5 to 20 years of age, of both genders were selected and divided into 2 groups each of 20. One group proceeded with Conventional adenoidectomy and the other group with Endoscopic adenoidectomy. The Longest mean operating time was observed in Endoscopic adenoidectomy (18.15±5.2 Minutes) and Conventional adenoidectomy had a mean operating time of 12.8±3.99 minutes. The highest mean intra-operative bleeding was observed in Endoscopic adenoidectomy (23.8±6.8 ml) and conventional adenoidectomy group had a mean bleeding of 19.5±4.35 as shown in Table 2. The p-value is 0.015 < 0.05 statistically significant was observed. Both the Endoscopic-assisted adenoidectomy and the Conventional curettage Adenoidectomy are routinely employed procedures. Endoscopic adenoidectomy procedure, has a reduced chance of leaving remnant tissue, less painful after surgery, and is more accurate. employed procedures. Endoscopic adenoidectomy procedure, has a reduced chance of leaving remnant tissue, less painful after surgery, and is more accurate.