Conventional Curettage Adenoidectomy vs Curettage Adenoidectomy With Transoral Endoscopic Residue Ablation in Children

Comparison of Short and Long-term Results of Conventional Curettage Adenoidectomy Without Endoscopy Assistance Versus Curettage Adenoidectomy With Transoral Endoscopic Residue Ablation in Children

This prospective study is designed to compare short and long term results of conventional cold curettage adenoidectomy in children performed without doing any endoscopic or mirror examination before ending the operation versus when combined with transoral endoscopic residue ablation using a wand.

Residual or recurrent adenoid tissue that causes persistence or recurrence of symptoms is observed frequently after conventional cold curettage adenoidectomy. New techniques to better visualize or excise the tissue in order to prevent this situation are being developed. This study aims to compare transoral endoscopic controlled adenoidectomy with conventional blind curettage adenoidectomy in terms of recurrent adenoid hypertrophy. Although there are other studies comparing the results of the two techniques in terms of early residual adenoid tissue and bleeding, no studies comparing the long term results were found in literature. This prospective study is planned to focus on both early examination of residual tissue and long term recurrence.

Inclusion Criteria:

• Patients within 3-12 years old
• Patients undergoing tonsillectomy and adenoidectomy for obstructive sleep disorder
• Patients undergoing adenoidectomy and ventilation tube insertion for chronic otitis media with effusion (OME)
• Patients undergoing adenoidectomy alone for obstructive sleep disorder
• Patients undergoing adenoidectomy alone for chronic OME
• Patients undergoing adenoidectomy alone for chronic sinusitis

Exclusion Criteria:

• Patients not between 3-12 years old
• Patients with craniofacial anomalies
• Revision adenoidectomy
• Proven significant comorbidities
• Systemic diseases
• Bleeding diathesis