Comparison between curettage adenoidectomy and endoscopic-assisted microdebrider adenoidectomy in terms of Eustachian tube dysfunction.
Acoustic Impedance Tests
Adenoidectomy
/ methods
Child
Child, Preschool
Curettage
/ methods
Debridement
/ methods
Ear, Middle
/ physiopathology
Eustachian Tube
/ physiopathology
Female
Humans
Male
Postoperative Period
Pressure
Prospective Studies
Single-Blind Method
Treatment Outcome
Video-Assisted Surgery
/ methods
Adenoidectomia com microdebridador
Adenoidectomia por curetagem
Curettage adenoidectomy
Disfunção tubária
Eustachian tube dysfunction
Microdebrider adenoidectomy
Journal
Brazilian journal of otorhinolaryngology
ISSN: 1808-8686
Titre abrégé: Braz J Otorhinolaryngol
Pays: Brazil
ID NLM: 101207337
Informations de publication
Date de publication:
Historique:
received:
21
12
2017
revised:
12
06
2018
accepted:
23
08
2018
pubmed:
17
10
2018
medline:
16
4
2020
entrez:
17
10
2018
Statut:
ppublish
Résumé
Adenoidectomy can be performed with many ways, including curettage and microdebrider endoscopic-assisted adenoidectomy. Those two techniques have advantages and disadvantages. The objective of this study is to research the effects of curettage adenoidectomy and endoscopic-assisted microdebrider adenoidectomy on the tympanum pressures in pediatric patients with adenoid hypertrophy without otitis media with effusion. This prospective descriptive study was performed with 65 patients who had a normal tympanic membrane and normal tympanogram and then underwent adenoidectomy or adenotonsillectomy for adenoid and tonsil hypertrophy. The subjects were randomly divided into two groups: curettage adenoidectomy group and endoscopic microdebrider-assisted adenoidectomy group. They underwent tympanometry, and the preoperative as well as 1st and 7th day postoperative values of the tympanum pressures were compared within and among the groups. There were 32 patients in the curettage adenoidectomy group and 33 patients in the microdebrider adenoidectomy group. Statistically significant differences were observed in the median tympanum pressure on the preoperative and 1st and 7th postoperative days for both the left and right ears with curettage adenoidectomy (p<0.001, p<0.001). This difference occurred on the 1st postoperative day, and the value returned to normal on the 7th day. There was no significant difference in the median tympanum pressure on the preoperative and 1st and 7th postoperative days for both the left and right ears in the microdebrider adenoidectomy group (p=0.376, p=0.128). Postoperative Eustachian tube dysfunction is seen less often with the endoscopic-assisted microdebrider adenoidectomy technique than with the conventional adenoidectomy technique.
Identifiants
pubmed: 30322828
pii: S1808-8694(18)30658-X
doi: 10.1016/j.bjorl.2018.08.004
pmc: PMC9422505
pii:
doi:
Types de publication
Clinical Trial
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
38-43Informations de copyright
Copyright © 2018 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. All rights reserved.
Références
Arch Otolaryngol Head Neck Surg. 1997 Jul;123(7):685-8
pubmed: 9236585
Clin Otolaryngol Allied Sci. 1998 Aug;23(4):308-9
pubmed: 9762491
Laryngoscope. 1992 Dec;102(12 Pt 1):1379-84
pubmed: 1453847
J Laryngol Otol. 2005 May;119(5):398-9
pubmed: 15949107
Adv Data. 1998 Aug 12;(300):1-16
pubmed: 10662351
Int J Pediatr Otorhinolaryngol. 2014 Aug;78(8):1239-42
pubmed: 24930960
Otolaryngol Head Neck Surg. 1999 Dec;121(6):740-4
pubmed: 10580230
Int J Pediatr Otorhinolaryngol. 2010 Apr;74(4):404-6
pubmed: 20163882
J Otolaryngol. 1994 Jun;23(3):221-4
pubmed: 8064966
Arch Otolaryngol Head Neck Surg. 2002 Jul;128(7):789-91
pubmed: 12117336
Arch Otolaryngol. 1969 Sep;90(3):383-6
pubmed: 4896109
Clin Otolaryngol Allied Sci. 1997 Dec;22(6):511-4
pubmed: 9466059
J Laryngol Otol. 2005 Jan;119(1):34-5
pubmed: 15807961
Maedica (Bucur). 2011 Oct;6(4):328-9
pubmed: 22879849
Otolaryngol Head Neck Surg. 2000 Nov;123(5):576-81
pubmed: 11077344
Am J Otolaryngol. 2015 May-Jun;36(3):377-81
pubmed: 25766622
Ear Nose Throat J. 1997 Feb;76(2):72, 74
pubmed: 9046692
ANZ J Surg. 2009 Nov;79(11):809-11
pubmed: 20078531
Int J Pediatr Otorhinolaryngol. 2015 Sep;79(9):1444-7
pubmed: 26169069
Eur Arch Otorhinolaryngol. 2012 Mar;269(3):1037-40
pubmed: 21833560
Otolaryngol Clin North Am. 1987 May;20(2):349-63
pubmed: 3299215
Otolaryngol Head Neck Surg. 1981 Jan-Feb;89(1):20-6
pubmed: 6784075