DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20191727

Evaluation of middle ear pressure and post-operative adenoid size in adenotonsillectomy: comparison between curettage and endoscopic assisted coblation technique

Sweekritha N. Bhat, Angshuman Dutta

Abstract


Background: The aim of the study is to evaluate the effect on middle ear pressure and study the residual adenoid size post adenotonsillectomy after adenotonsillectomy by curettage and endoscopic assisted coblation among pediatric age group.

Methods: The present study was designed as a prospective observational study among patients undergoing adenotonsillectomy in a tertiary care hospital among pediatric age group (7-13 years) by measuring middle ear pressure (by tympanometry) and residual adenoids post adenoidectomy by diagnostic nasal endoscopy in 60 patients. The patients were included by simple random sampling, 30 patients for each group one undergoing cold steel the other endoscopic coblation adenotonsillectomy.  

Results: Greater reduction was observed in the post-operative adenoid size with endoscopic assisted coblation as compared to curettage. The difference in the middle ear pressure at pre operatively, day 1, day 7 and at 3 months between the study groups was not statistically significant.

Conclusions: In our study endoscopic coblation technique was found to be more superior to curettage in terms of greater reduction in adenoid mass. The effects on transient middle ear pressure between both study groups showed no difference. 


Keywords


Adenotonsillectomy, Coblation, Endoscope, Tympanometry

Full Text:

PDF

References


Kaemingk KL, Pasvogel AE, Goodwin JL, Mulvaney SA, Martinez F, Enright PL, et al. Learning in children and sleep disordered breathing: findings of the Tucson Children's Assessment of Sleep Apnea (tuCASA) prospective cohort study. Journal of the International Neuropsychological Society. 2003;9(7):1016-26.

Benninger M, Walner D. Coblation: improving outcomes for children following adenotonsillectomy. Clinical cornerstone. 2007;9(S13-23):1098-3597.

Regmi D, Mathur NN, Bhattarai M. Rigid endoscopic evaluation of conventional curettage adenoidectomy. J Laryngol Otol. 2011;125(1):53-8.

Holt GR, Watkins TM, Yoder MG, Garcia A. The effect of tonsillectomy on impedence audiometry. Otolaryngol Head Neck Surg. 1981:89:20-6.

Finkelstein Y, Tadmi Y, Zohan Y, Ruban Y, Laurian N. Can uvulopalatopharyngoplasty be harmful to the eustachian tube function? Acta Otolaryngol. 1987;104:511-20.

Clemens J, McMurray JS, Willging JP. Electrocautery versus curette adenoidectomy: comparison of postoperative results. Int J Pediatr Otorhinolaryngol. 1998;43(2):115-22.

Murat S, Canan A, Zehra Hilal A, Hamit A. Endoscopic‐assisted versus curettage adenoidectomy: A prospective, randomized, double‐blind study with objective outcome measures. The Laryngoscope. 2010;120(9):1895-9.

Businco LDR, Angelone AM, Mattei A, Ventura L, Lauriello M. Paediatric adenoidectomy: endoscopic coblation technique compared to cold curettage. Acta Otorhinolaryngologica Italica. 2012;32(2):124.

Ozturk O, Polat S. Comparison of transoral power-assisted endoscopic adenoidectomy to curettage adenoidectomy. Advances in therapy. 2012;29(8):708-21.

El Tahan A, Elzayat S, Hegazy H. Adenoidectomy: comparison between the conventional curettage technique and the coblation technique in pediatric patients Original Article. Egyptian J Otolaryngol. 2016;32,152-5.

Feng Y, Yin S. Comparison of the powered-assisted adenoidectomy with adenoid curette adenoidectomy. J Clin Otorhinolaryngol. 2006;20(2):54-7.

Bradoo RA, Modi RR, Joshi AA, Wahane V. Comparison of Endoscopic-Assisted Adenoidectomy with Conventional Method. An Int J Clin Rhinol. 2011;4(2):75-8.

Nair BT, Nair VB. Coblation adenoidectomy our experience. Otolaryngol Online J. 2014;4:1-6.

Goel AK. Adenoidectomy: Conventional or Endoscopic Assisted? Clin Rhinol Int J. 2017;10(2):74-7.

Yang L, Shan Y, Wang S, Cai C, Zhang H. Endoscopic assisted adenoidectomy versus conventional curettage adenoidectomy: a meta-analysis of randomized controlled trials. Springer Plus. 2016;5:426.

Bonding P, Tos M. Middle ear pressure during brief pathological conditions of the nose and throat. Acta oto-laryngologica. 1981;92(1-6):63-9.

Hone S, Moodley S, Donnelly M, Fenton J, Gormley P, Walsh M. The effect of tonsillectomy on eustachian tube function. Clin Otolaryngol Allied Sci. 1997;22(6):511-4.