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Power‐Assisted Adenoidectomy: Total and Partial Resection
Author(s) -
Koltai Peter J.,
Chan James,
Younes Abbas
Publication year - 2002
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.5541121411
Subject(s) - adenoidectomy , medicine , adenoid , surgery , blood loss , complication , resection , retrospective cohort study , tonsillectomy
Objective To describe the surgical technique for power‐assisted adenoidectomy and review the safety and effectiveness of the procedure. Study Design Retrospective review. Methods Power‐assisted adenoidectomy uses a curved microdebrider shaver blade that conforms to the nasopharynx. The action of the shaver is controlled through visualization using a laryngeal mirror. Power‐assisted adenoidectomy is started high in the nasopharynx, with resection beginning in the most superior aspect of the adenoid pad and moving inferiorly to the base of the pad. The cutting edge of the microdebrider remains in view continuously. Results Between 1998 and 2001, we performed power‐assisted adenoidectomy in 677 children and conducted both retrospective and prospective reviews of our experience. No instances of excess intraoperative blood loss (>150 mL), postoperative hemorrhage, velopharyngeal insufficiency, or other complication associated with adenoidectomy have occurred. Conclusion We have consistently demonstrated that power‐assisted adenoidectomy is precise, rapid, and safe.