Open AccessComparative Study for Efficacy and Safety of Adenoidectomy according to the Surgical Method: A Prospective Multicenter Study
Author(s) -
Jeong Whun Kim,
Hong Joong Kim,
Woo Hyun Lee,
Dong Kyu Kim,
Sung Wan Kim,
Young Hyo Kim,
Jung Gwon Nam,
Seok Won Park,
Chan Soon Park,
Woo Yong Bae,
Nam Kyung Yeo,
Tae Bin Won,
Jun Young Lee,
Tae Hoon Lee,
Hyoung Joo Lee,
Sang Wook Kim,
Sung Wook Jeong,
Jeong Seok Choi,
Doo Hee Han,
Ji Ho Choi
Publication year - 2015
Publication title -
plos one
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.99
H-Index - 332
ISSN - 1932-6203
DOI - 10.1371/journal.pone.0135304
Subject(s) - adenoidectomy , multicenter study , medicine , prospective cohort study , surgery , tonsillectomy , randomized controlled trial
Background/Objective There have been several operative techniques for adenoidectomy and their efficacy and morbidity are different according to the technique. This prospective multicenter study was aimed to compare the efficacy and morbidity of coblation adenoidectomy (CA) with those of power-assisted adenoidectomy. Study Design Prospective multi-institutional study. Methods Children who underwent CA, power-assisted adenoidectomy with cauterization (PAA+C) or without cauterization (PAA-C) due to adenoid hypertrophy were enrolled from 13 hospitals between July 2013 and June 2014. Mean operation time, degree of intraoperative bleeding and postoperative bleeding rate were evaluated. Results A total of 388 children (mean age ± standard deviation = 6.6 ± 2.5 years; 245 males and 143 females) were included. According to the adenoidectomy technique, the children were classified into 3 groups: (1) CA (n = 116); (2) PAA+C (n = 153); and (3) PAA-C (n = 119). Significant differences were not found in age and sex among three groups. In the CA group, mean operation time was significantly shorter ( P < 0.001) and degree of intraoperative bleeding was significantly less ( P < 0.001) compared to PAA+C or PAA-C group. Delayed postoperative bleeding rate of PAA-C group was significantly higher than that of CA or PAA+C group ( P = 0.016). Conclusions This prospective multicenter study showed that CA was superior to PAA in terms of mean operation time and degree of intraoperative bleeding.