Medical Science
Volume 25, Issue 107, January, 2021
Adenoidal tissue regrowth post-adenoidectomy using suction cautery versus conventional curette among pediatric patients in a tertiary care center
Hani Zohair Marzouki1, Talal Ahmed Alkhatib1, Faisal Zawawi1, Mazin Adnan Merdad1, Hossam Alamoudi2, Rahaf Hamza Baharoon3, Arwa Hisham Abulnaja3, Khadija Mohammed Alaidarous3, Malak Fuad Alshaebi3, Murooj Eidah Alotaibi3, Sanaa Hussein Sulimani3
1Department of Otolaryngology- Head and neck surgery, King Abdulaziz University Hospital, Jeddah, Saudi Arabia
2Department of Otolaryngology, Fakeeh Hospital, Jeddah, Saudi Arabia
3Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
ABSTRACT
Adenoidectomy is one of the most common surgical techniques performed in Otorhinolaryngology. Several approaches have been
described for adenoidectomy. This paper aims to compare between the Conventional Curette Adenoidectomy (CCA) and the Suction
Cautery Adenoidectomy (SCA) in terms of the operation duration, intraoperative bleeding, and postoperative reoccurrence of the
symptoms. A retrospective, randomized case-control study was designed to assess these objectives. Data of 241 patients were
collected from King Abdul-Aziz University hospitals' medical records between January 1st, 2013 and December 31st, 2019, and
statistical analysis was performed. Two hundred forty-one patients were enrolled in the study, with ages ranging from 1 to 14 years.
Most of the patients were males (60.2%). Most of the patients who required a second operation belonged to the CCA group (9 out
of 10). The regrowth of adenoidal tissue was faster among the CCA group compared to SCA. There was a statistically significant
difference between the techniques regarding the reoccurrence of snoring. The rest of the symptoms as well as post-operative
bleeding were not statistically significant. In conclusion, while revision adenoidectomy was more in those who underwent CCA,
further investigations need to be conducted to ensure the statistically significant difference between the two approaches regarding
the duration of operation, tissue regrowth, and the amount of bleeding.
Keywords: Adenoidectomy, Conventional Curette, Suction Cautery, pediatric patients, postoperative symptoms.
Medical Science, 2021, 25(107), 126-134
