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Powered Partial Adenoidectomy

2002; American Medical Association; Volume: 128; Issue: 7 Linguagem: Inglês

10.1001/archotol.128.7.792

1538-361X

Nicole Murray, Philip Fitzpatrick, J. Lindhe Guarisco,

Congenital Ear and Nasal Anomalies

Objective: To confirm our clinical impression that the powered microdebrider is superior to curettes for performing partial adenoidectomy (removal of the superior one half to three fourths of the adenoid pad).Design: Observational study of 100 children undergoing partial adenoidectomy with the powered microdebrider compared with 40 children undergoing conventional partial adenoidectomy with curettes.Setting: Private and public tertiary care centers.Patients: All patients younger than 20 years undergoing partial adenoidectomy at the respective institutions during the study period.Interventions: Partial adenoidectomy as indicated for chronic otitis media, airway obstruction, or chronic or recurrent tonsillitis with either the powered microdebrider or curettes.Main Outcomes Measures: Operative time (with specific quantification of the time required for tissue re-moval and hemostasis), blood loss, complications, and subjective ease of use.