Comparative Study Between Endoscopic Assisted Microdebrider Adenoidectomy (EAMA) and Endoscopic Assisted Coblation Adenoidectomy (EACA): Analyzing the Intraoperative Parameters

Abstract

Adenoid hypertrophy is one of the most common causes of nasal blockage in children to seek an otorhinolaryngologist, which is often presented as recurrent acute otitis media, sleep disordered breathing including obstructive sleep apnea (OSA), hypo apnea syndrome and chronic rhinosinusitis. Surgical adenoidectomy is a common Otolaryngology procedure recommended in children with adenoid hypertrophy not responding to medical line of management. Conventional adenoidectomy is performed blindly without visualizing the nasopharynx; which leads to complications like inadequate adenoid tissue removal, eustachian tube scarring, bleeding. This has led to development of alternate surgical methods with visualization of nasopharynx via nasal endoscopes. With the recent introduction of microdebrider and coblation in rhino surgery many surgeons prefer endoscopic guided microdebrider adenoidectomy and endoscopic guided coblation adenoidectomy.