Microscopic Adenoidectomy Using the Electric Adenotome.
- Author:
Jong Ouck CHOI
1
;
Seung Kuk BAEK
;
Tae Hoon KIM
;
Sung Dong JO
;
Byung Sun JUN
;
Kwang Yoon JUNG
;
Geon CHOI
Author Information
1. Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Korea University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Electric adenotome;
Microscopic adenoidectomy;
adenoid vegetation
- MeSH:
Adenoidectomy*;
Adenoids;
Child;
Hemorrhage;
Humans;
Incidence;
Recurrence;
Surgical Instruments
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2000;43(4):421-425
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES: The conventional adenoidectomy is performed via the transoral approach and can be accomplished with adenoid curette, adenotome, and adenoid punch. This method has been associated with many complications. We performed an adenoidectomy using an electric adenotome under the operating microscope. The aim of this study was to compare the electric adenotome adenoidectomy with the conventional adenoidectomy and to evaluate the effectiveness and outcome of the electric adenotome surgery. MATERIALS AND METHODS: One hundred cases of microscopic adenoidectomy using the electric adenotome and one hundred cases of conventional methods using curette or punch forceps were examined. RESULTS: There was less incidence of intraoperative and postoperative bleeding in the electric adenotome adenoidectomy group. There were no differences regarding the postoperative outcome and recurrence rate between the electric adenotome method group and the conventional method group. CONCLUSION: Compared to the conventional method, the electric adenotome method has similar postoperativc result but has a lower incidence of intraoperative and postoperative bleeding. We suggest that adenoidectomy using an electric adenotome is an attractive surgical method in children with symptomatic adenoid vegetation,
