<p>The aim of our study was to compare endoscope-assisted coblator adenoidectomy and cold curettage adenoidectomy techniques. Our study was conducted prospectively on patients who underwent adenoidectomy at a tertiary center. One group underwent endoscope-assisted coblator adenoidectomy, while the other group underwent cold curettage adenoidectomy. Both methods were compared in terms of bleeding amount, preparation time for the operation, operation time and postoperative pain scoring. The study was conducted with a total of 80 patients aged 2–12&#xa0;years. The amount of bleeding in the curettage group was significantly higher than the amount of bleeding in the coblator group (<i>p</i> = 0.001; <i>p</i> &lt; 0.01). The operation preparation time in the curettage group was significantly lower (<i>p</i> = 0.001; <i>p</i> &lt; 0.01). The operation time of the cases in the curettage group was significantly higher (<i>p</i> = 0.001; <i>p</i> &lt; 0.01). No difference was found in the total time according to the groups (<i>p</i> &gt; 0.05). In the postoperative pain scoring, the VAS scores of the patients in the curettage group at the 4th hour and 1st day were significantly higher than those in the coblator group (<i>p</i> = 0.001; <i>p</i> &lt; 0.01). We observed that the amount of bleeding during surgery, the duration of surgery, and the postoperative pain were less in the coblator adenoidectomy technique compared to adenoidectomy with curettage. Although the preparation phase was found to be long in the coblator technique, we think that the coblator technique is a fast, safe, and effective method in adenoidectomy when we consider that the surgical team can shorten the preparation time with practice.</p>

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Comparison of Endoscope Assisted Coblation and Cold Curettage in Patients Undergoing Pediatric Adenoidectomy

  • Müslüm Ayral,
  • Servet Erdemes

摘要

The aim of our study was to compare endoscope-assisted coblator adenoidectomy and cold curettage adenoidectomy techniques. Our study was conducted prospectively on patients who underwent adenoidectomy at a tertiary center. One group underwent endoscope-assisted coblator adenoidectomy, while the other group underwent cold curettage adenoidectomy. Both methods were compared in terms of bleeding amount, preparation time for the operation, operation time and postoperative pain scoring. The study was conducted with a total of 80 patients aged 2–12 years. The amount of bleeding in the curettage group was significantly higher than the amount of bleeding in the coblator group (p = 0.001; p < 0.01). The operation preparation time in the curettage group was significantly lower (p = 0.001; p < 0.01). The operation time of the cases in the curettage group was significantly higher (p = 0.001; p < 0.01). No difference was found in the total time according to the groups (p > 0.05). In the postoperative pain scoring, the VAS scores of the patients in the curettage group at the 4th hour and 1st day were significantly higher than those in the coblator group (p = 0.001; p < 0.01). We observed that the amount of bleeding during surgery, the duration of surgery, and the postoperative pain were less in the coblator adenoidectomy technique compared to adenoidectomy with curettage. Although the preparation phase was found to be long in the coblator technique, we think that the coblator technique is a fast, safe, and effective method in adenoidectomy when we consider that the surgical team can shorten the preparation time with practice.