Title: Comparative Prospective Study -Currette vs Powered Instrument Microdebrider Assisted Adenoidectomy- A Study of 25 Cases

Authors: Dr Jitesh Kumar Garg MBBS MS ENT, Dr H.S.Bhui, Dr A. K. Gupta

 DOI: https://dx.doi.org/10.18535/jmscr/v7i3.162

Abstract

Introduction

Infectious and inflammatory diseases involving the pharynx, tonsils, and adenoids account for a significant proportion of childhood illnesses and pediatric health care expenditure. They often result two of the most common surgical procedures of childhood -tonsillectomy & adenoidectomy.  Recent clinical research has helped to illuminate this vast area of pediatric otorhinolaryngology including the effect of adenotonsillar hypertrophy on obstructive sleep apnea, the microbiologic flora of the tonsils and adenoids and their role in chronic adenotonsillar hypertrophy, the relationship between adenotonsillar hypertrophy and craniofacial growth and the new technique for adenotonsillectomy with improved management of perioperative morbidity .

This work review our current understanding of new technique for adenoidectomy via microdebrider and conventional currette mathod.

References

  1. AREY LB: On development, morphology and interpretation of a system of crypts analogue in pharyngeal tonsil, AM J ANAT 80:203-233 1947.
  2. SLIPKA J: The development and function of the pharyngeal tonsil in early ontogenesis, Cesk otolaryngol 30:201-206 1981.
  3. ROSENFELD: RM: Pilot study of outcomes in pediatric rhinosinusitis, Arch otolaryngol head neck surg 121: 729,1995.
  4. HOWIE AJ: Scanning & transmission electron microscopy on the epithilium of human palatine tonsil , J PATHOL 130:191,1980
  5. PALUMBO FM: Pediatric consideration of infection and inflammation of waldeyer s ring, Otolaryngol clin north am 20:311,1987.
  6. SNOOK T : The development of the human pharyngeal tonsil , Am j anat 55:323,1934.
  7. RICHTSMEIER WJ ,SHIKHARI AM,WB SHAUNDERS: The physiology and immunology of the pharyngeal lymphoid tissue ,In otolaryngology clinics north am philadelphia ,1987,
  8. MANDEL EM AND OTHERS : Effect of adenoidectomy on eustachian tube function: preliminary results of a randomized clinical trial, Adv otorhinolaryngol 47: 227,1992.
  9. SURJAN L, BRANTZAEG P,BERDAL P : Immunoglobulin system of human tonsils , II. Patients with chronic tonsillitis or tonsillar hyperplasia : quantification of Ig - producing cells, tonsillar morphology and serum ig concentration , Clin exp immunot 31:382,1978.
  10. TEEL DW: Inflammatory diseases of the mouth & pharynx . In BLUESTONE CD ,STOOL SE, editors : Pediatric otolaryngology ,philadelphia ,1983,WB SAUNDERS.
  11. SIEGEL G: Theoretical and clinical aspects of the tonsillar functions ,Int J Pediatric otorhinolaryngol 6:01, 1983.
  12. OHLMS LA, WILDER RT ,WESTON B: use of intraoperative corticosteroids in pediatric tonsillectomy ,Arch otolaryngol head neck surg 121: 737,1995.
  13. D AMELIO R & OTHERS: S erum IgA in salivery levels in normal subjects : comparision between tonsillectomized and non tonsillevtomized subjects ,Int arch allergy appl immunol 68 : 256,1982.
  14. DONOVAN R, SOOTHILL JF: Immunological studies in children undergoing tonsillectomy, Clin exp immunol 14: 347 .1973.
  15. OHLMS LA, WILDER RT,WETSON B :Use of intraoperative corticosteroids in pediatric tonsillectomy ,Arch otolaryngol head neck surg 121 : 737 ,1995.
  16. BROOK I : The clinical microbiology of waldeyer s ring ,Otolaryngol clin am 20: 259,1987.
  17. STANISLAW P JR., KOLTAI PJ, FEUSTET PJ: Comparison of powered assisted adenoidectomy vs curette adenoidectomy , Arch otolaryngol head neck surg ,126: 845 ,2000.
  18. INGVARSSON L,LUNDGREN K, IRVING J: The bacterial flora in the nasopharynx in healthy children , Acta otolaryngol supll ( stockh) 386: 94, 1982.
  19. BRODSKY L ,KOCH RJ : Bacteriology and immunology of normal and diseased adenoids in children, Arch otorhinolaryngol head neck surg 119: 821 ,1993.
  20. BROOK I ,WALKER RL : Pathogenecity of anaerobic gram positive cocci ,Infect immun 45: 320 ,1984.
  21. BRODSKY L ,KOCH RJ: Bacteriology and immunology of normal & diseased adenoids in children . Arch otolaryngol head neck surg 119 : 821, 1993
  22. RICHTSMEIER WJ : Human interferon production in tonsil and adenoid tissue cultures . Am j otolaryngol 4: 325 ,1983
  23. LEACH J AND OTHERS: Polysomnographic and clinical findings in children with obstructive sleep apnea , Arch otolaryngol head neck surg 118: 741,1992.
  24. TRASK G AND OTHERS : The effects of perennial allergy rhinitis on dental  and skeleton  development:    A comparison of siblings , Am j orthod 92 : 286, 1987,
  25. LINDER ARONSON S,WOODSIDE DG ,LUNDSTROM A : Mandibular growth direction following adenoidectomy , Am j orthod dentofacial orthop 89: 273 ,1986.
  26. OWEN GO , CANTER RJ ,ROBINSON A: Overnight pulse oximetry in snoring and non snoring children , Clin otolaryngol 20: 402, 1995.
  27. FUJIOKA M, YOUNG LW, GIRDANY BR : Radiographic evalution of adenoid size in children : adenoid nasopharyngeal ratio ,Am j radio 133:401 , 1979.
  28. KORNBLUNT AD: A traditional approach to surgery of the tonsils and adenoids , Otol clin north Am 20: 349,1987.
  29. PRATT LW, HORNBERGER HR,MOORE VJ : Mediastinal emphysema complicating tonsillectomy & adenoidectomy , Ann otol rhinol laryngol 71: 158,1962
  30. D AMELIO R & OTHERS: S erum IgA in salivery levels in normal subjects: comparision between tonsillectomized and non tonsillevtomized subjects ,Int arch allergy appl immunol 68 : 256,1982.
  31. THRONVAL A , WILHELM MEYER : Arch otolaryngeal head neck surg 90: 383 ,1969.
  32. KOLTAI PJ: Powered innstruments in pediatric otorhinolaryngology, Arch otolaryngol head neck surg 14 : 25,2000.
  33. KOLTAI PJ, CHAN J, YOUNES A: Powered assisted adenoidectomy : total and partial resection . Laryngoscope 112: 29, 2002.
  34. KOLTAI PJ AND OTHERS : Powered assisted adenoidectomy : total and  partial resection , Arch otolaryngol head neck surg 123: 685 ,1997.
  35. STANISLAW P JR, KOLTAI PJ, FENSTAL PJ : Comparison of powered assisted adenoidectomy vs curette adenoidectomy , Arch otolaryngol head neck 103: 966, 1990.
  36. MURRAY NL, FITZPATRIC P, GUARISCO JL: Powered partial adenoidectomy : A clinical trial : Arch otolaryngol head neck surg ,2003
  37. CLEMENS J, MCMURRAY JS ,WILLGING JP: Electrocuatery versus curette adenoidectomy : A comparison of prospective results , Int j peditr otolaryngol 43: 112- 115 ,1998.
  38. CRAIG S, DERKAM MD, BRIMI R: Innovative techniques for adenotonsillar surgery in children : Introduction and commentry ,Laryngoscope 112: 8,2002.

Corresponding Author

Dr Jitesh Kumar Garg MBBS MS ENT

Email: This email address is being protected from spambots. You need JavaScript enabled to view it.