A Prospective Randomized Controlled Trial Comparing the Psychological Impact of Traditional Cold Steel Adenoidectomy and Endoscopic-Assisted Cold Steel Adenoidectomy.

Traditional Cold Steel Adenoidectomy (TCSA) and Endoscopic-Assisted Cold Steel Adenoidectomy (EACSA) frequently employ surgical adenoid removal methods. While these techniques effectively treat adenoid- related conditions, their influence on patients' psychological well-being still needs to be more adequately explored. With the increasing focus on the significance of mental well-being in surgical results, this study sought to explore and differentiate the psychological impacts of TCSA and EACSA. The primary objective was to examine and compare anxiety levels between TCSA and EACSA groups. Secondary objectives included evaluating surgical apprehension, post- surgery psychological well-being, procedural satisfaction, postoperative pain, duration until return to daily activities, and occurrence of postoperative complications. In a prospective, randomized controlled trial, 100 patients undergoing adenoidectomy were randomly allocated to the TCSA or EACSA group. The Hospital Anxiety and Depression Scale (HADS) was employed to evaluate anxiety levels at one week, one month, and three months following the surgery. Additional outcomes included surgical apprehension, post-surgery psychological well-being, procedural satisfaction, postoperative pain, time until return to daily activities, and postoperative complications. The EACSA group exhibited significantly lower HADS scores, surgical apprehension scores, and postoperative pain, alongside higher post-surgery psychological well-being scores and procedural satisfaction compared to the TCSA group (

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