Microdebrider-assisted powered adenoidectomy: a prospective study

Objective To assess the use of powered instrumentation and endoscopes to evaluate the efficacy and safety of this procedure in comparison to classic adenoidectomy using an adenoid curette. Patients and methods A prospective study performed at the Department of Otolaryngology, Head and Neck Surgery in Jazan General Hospital, Kingdom of Saudi Arabia. It includes 70 patients subjected to adenoidectomy who were divided into two equal groups: conventional curette adenoidectomy (CCA) group and microdebrider-assisted powered adenoidectomy (MPA) group. Both groups were assessed for operative time, average operative blood loss, duration of postoperative pain, return to normal diet and activities. Results There was no statistical significance between two groups regarding the operative time: the mean operative time in the CCA group was 13.7 +/- 3.5 min, while 12.9 +/- 4.3 min in the MPA group. The mean operative blood loss in the CCA group was 14.2 +/- 3.4 ml, while it was 13.5 +/- 2.9 in MPA group without any statically significant difference between the two groups. Conclusion MPA proved to be a good alternative to CCA technique as both techniques provide complete adenoid resection with fewer traumas to the adjacent tissue. Level of Evidence: 3b.