Suction diathermy adenoidectomy: audit of current practice in a tertiary care hospital

Authors

  • Nithya Venkataramani Department of ENT, Head and Neck Surgery, People Tree Hospital, Bangalore, Karnataka, India
  • Ravi Sachidananda Department of ENT, Head and Neck Surgery, People Tree Hospital, Bangalore, Karnataka, India
  • Sandeep Dachuri Dr. Rudrappa’s ENT Hospital, Bangalore, Karnataka, India
  • Srividya Rao Vasishta Department of Advanced centre for Dentistry, People Tree Hospital, Bangalore, Karnataka, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20194935

Keywords:

Suction diathermy, Adenoidectomy, Coblation

Abstract

Background: Adenoidectomy is conventionally performed using adenoid curette as a blind procedure. Suction diathermy adenoidectomy is a technique of ablating the adenoid tissue using thermal energy and removing it by suction. This audit aims to study the efficacy and complications of this technique in a tertiary care center.

Methods: Retrospective analysis of hospital database was conducted. Twenty-seven patients who underwent suction diathermy adenoidectomy were identified and hospital records studied. Parents were contacted and enquired regarding improvement in child's symptoms.

Results: No instances of postoperative complications identified. All except 2 parents were completely satisfied with the improvement in their child's symptoms. Two children had occasional mouth breathing.

Conclusions: Suction diathermy adenoidectomy is a feasible alternative to conventional adenoidectomy with few complications and minimal rate of recurrence.

References

National Institute for Health and Clinical Excellence. Suction diathermy adenoidectomy. Interventional Procedure Guidance 328. London: NICE; 2009.

Wright ED, Manoukian JJ, Shapiro RS. Ablative adenoidectomy: a new technique using simultaneous liquefaction/aspiration. J Otolaryngol. 1997;26:36-43.

Modayil P, Modayil GO, Pai I, Van Wykk C. Monopolar suction diathermy adenoidectomy: technical note. Indian J Otolaryngol Head Neck Surg. 2011;63(1):99-100.

Wynn R, Rosenfeld RM. Outcomes in suction coagulator adenoidectomy. Arch Otolaryngol Head Neck Surg. 2003;129(2):182-5.

Walker P. Pediatric adenoidectomy under vision using suction-diathermy ablation. Laryngoscope. 2001;111(12):2173-7.

Skilbeck CJ, Tweedie DJ, Lloyd-Thomas AR, Albert DM. Suction diathermy for adenoidectomy: complications and riskof recurrence. Int J Pediatr Otorhinolaryngol. 2007;71:917-20.

Hajr E, Hagr AR, Al-Arfaj A, Ashraf M. Int J Pediatr Otorhinolaryngol. 2011;75(3):327-9.

Henry LR, Gal TJ, Mair EA. Does increased electrocautery during adenoidectomy lead to neck pain? Otolaryngol Head Neck Surg. 2005;133:556-61.

Jonas NE, Sayed R, Prescott CA. Prospective, randomized, single-blind, controlled study to compare two methods of performingadenoidectomy. Int J Pediatr Otorhinolaryngol. 2007;71:1555-62.

Sethi N, Egan P, Ward VMM. Suction diathermy adenoidectomy performed in the district general hospital. J Laryngol Otol. 2014;128:78-81.

Cartwright SJ, Thorne SJ, Okpala E. A novel method of teaching adenoidectomy using suction diathermy. J Laryngol Otol. 2012;126:818-20.

Datta R, Singh VP, Deshpal. Conventional versus endoscopic powered adenoidectomy: a comparative study. Med J Armed Forces India. 2009;65(4):308-12.

Bidaye R, Vaid N, Desarda KJ. Comparative analysis of conventional cold curettage versus endoscopic assisted coblation adenoidectomy. Laryngol Otol. 2019;133(4):294-9.

Elluru RG, Johnson L, Myer CM. Electrocautery adenoidectomy compared with curettage and power-assisted methods. Laryngoscope. 2002;112:23-5.

Sachidananda R. Suction diathermy adenoidectomy (video file). Available at: https://www.youtube.com/ watch?v=zjJw8fBqDN8. Accessed on 2 July 2019.

Downloads

Published

2019-10-23

Issue

Section

Original Research Articles