Authors Md Ashraful Islam Professor & amp; Head. Department of Otolaryngology-Head & Neck Surgery, Bangladesh Medical College, Dhaka, Bangladesh Md Mashiur Rahman Associate Professor & Head. Department of Otolaryngology-Head and Neck Surgery, Ad-Din Medical College, Dhaka, Bangladesh Nazmul Hossain Choudhury Assistant Professor, Department of Otolaryngology-Head & Neck Surgery, Bangladesh Medical College, Dhaka, Bangladesh ASM Lutfur Rahman Resident Surgeon. Department of Otolaryngology-Head & Neck Surgery, Bangladesh Medical College, Dhaka, Bangladesh Fariduddin Milki Consultant in ENT, Department of Otolaryngology-Head & Neck Surgery, Bangladesh Medical College Hospital, Dhaka, Bangladesh Mostofa Kamal Arefin Resident Surgeon of ENT, Dhaka Medical College Hospital, Dhaka, Bangladesh DOI: https://doi.org/10.3329/bjo.v28i2.64295 Keywords: Coblation assisted adenoidectomy, Conventional, Curettage adenoidectomy Abstract

Background: Adenoid is a patch of tissue that is situated high up in the throat and just behind the nose in the nasopharynx. Adenoid along with the tonsils, is a part of the lymphatic system that clears away infection and keeps body fluids in balance.Whenever, adenoid become enlarged, seriously infected or causes certain complications, adenoidectomy becomes essential. It can be performed with many ways includingcoblation assisted adenoidectomy and conventional curettage adenoidectomy.

Aim of the study: The aim ofthis study was to assessthe advantages of coblation assisted adenoidectomy over conventional curettage adenoidectomy.

Methods: This comparative observational study was conducted in the Department of ENT, Bangladesh Medical College Hospital and Popular Medical College Hospital, Bangladesh during the period from July 2019 to June 2022. A total of 100 admitted patients for adenoidectomy were included as the study. All the participants were divided in two groups. In Conventional group, there were 50 participants selected for conventional curettage adenoidectomy.On the other hand, in coblation group, other 50 participants selected for coblation assisted adenoidectomy. For comparison of both the method all necessary data along with demographic and clinical status were collected in a predesigned questioner. All data were processed and analyzed and disseminated by using MS Office and SPSS version 23 programs as per need.

Results: In this study, as the superiority of coblation assisted adenoidectomy over conventional curettage adenoidectomy we found significantly lower ‘intra operative blood loss in ml (7.58±3.28 ml)’, ‘post-operative bleeding (0%)’, presence of residual lymphoid tissue (8%)’, ‘days with analgesics (10.42±3.60 days), ‘post operative adenoid grading (0.0±0.0)’, ‘rate of recurrence (20%)’ and ‘needed days for recovery (4.68±2.17 days)’ among coblation group patients than that among conventional group patients.

Conclusion: Coblation assisted adenoidectomy ensures more easier and specific treatment for the patient. As per the findings of this study we can conclude that, considering the attractive features like lower intra operative and post-operative blood loss, presence of residual lymphoid tissue, days with analgesics, post operative adenoid grading, rate of recurrence and needed days for recovery coblation assisted adenoidectomy may be considered as the method of choice for such treatment.

Bangladesh J Otorhinolaryngol 2022; 28(2): 128-134

Downloads

Download data is not yet available.

How to Cite

Islam, M. A. ., Rahman, M. M. ., Choudhury, N. H. ., Rahman, A. L. ., Milki, F. ., & Arefin, M. K. . (2023). Coblation Assisted Adenoidectomy vs. Conventional Curettage Adenoidectomy: A Comparative Study. Bangladesh Journal of Otorhinolaryngology, 28(2), 128–134. https://doi.org/10.3329/bjo.v28i2.64295

Issue Section

Original Articles

License

Manuscripts submitted for publication in the Bangladesh Journal of Otorhinolaryngology must not have been previously submitted or published. Accepted papers become the permanent property of the Bangladesh Journal of Otorhinolaryngology. By submitting a manuscript, the authors(s) agree that copyrights for their articles are automatically transferred to Bangladesh Journal of Otorhinolaryngology, if and when the articles are accepted for publication.

The use, in this journal, of registered trade names, trade marks, etc. without special acknowledgement does not imply that such names, as defined by the relevant protection laws, be regarded as unprotected, and, thus, free for general use.

Authors who publish with this journal agree to the following terms:

 

Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).