Muthamil Silambu, V (2016) A Comparitive study Between Coablation Adenoidectomy and Conventional Adenoidectomy. Masters thesis, Stanley Medical College, Chennai.
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Abstract
This is a comparative study between coablation adenoidectomy and conventional adenoidectomy, conducted in a tertiary care centre between March 2014 to November 2015. About 25 patients were studied in each group. Adenoidectomy with or without tonsillectomy is one of the most commonly performed surgical procedures in children. Traditional adenoidectomy is carried out under General Anaesthesia by blind curettage. Techniques involving direct vision include suction coagulator, microdebrider, Coablator, KTP Laser, etc. 1. To study the advantages of coablation adenoidectomy in comparison with conventional adenoidectomy 2. To compare post operative pain, bleeding, infections and complications. The overall advantages of coblation adenoidectomy, compared with cold curettage, are the decrease in intra- and post-operative bleeding, better safety, precision of adenoid removal and less injury to adjacent tissues. The most important endpoint of endoscopic-assisted coblator adenoidectomy compared to curettage adenoidectomy is the reduced adenoid grade after surgery. MATERIALS AND METHODS ; The analysis is based on paients attending the department of Otorhinolaryngology at Stanley Medical College Hospital. This study is conducted on 50 patients who have adenoid symptoms in the age group of 4 to 14 years. Patients are evaluated by history taking, clinical examination, radiological examination and diagnostic nasal endoscopy to assess the hypertrophy of adenoid. CONCLUSION : Adenoidectomy is a commonly performed procedure. The advent of endoscopes made a significant impact in adenoidectomy. Endoscopic assisted adenoidectomy is a natural progression of this technology to allow a more complete adenoidectomy. Using the nasal endoscope the adenoid wand can be accurately placed at the superior border of the adenoid, allowing the complete transoral removal of the main bulk of the adenoid tissue without injury to the surroundings. Bleeding points are visualized and controlled endoscopically. From this we conclude that the overall advantages of coblation adenoidectomy, compared with cold curettage, are the decrease in intra- and post-operative bleeding, better safety, precision of adenoid removal and less injury to adjacent tissues. The most important endpoint of endoscopic-assisted coblator adenoidectomy compared to curettage adenoidectomy is the reduced adenoid grade after surgery.
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | Coblation, Conventional, Adenoidectomy, Conventional. |
| Subjects: | MEDICAL > Otolaryngology |
| Depositing User: | Subramani R |
| Date Deposited: | 11 Jan 2018 02:57 |
| Last Modified: | 11 Jan 2018 02:57 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/5450 |
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