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Peter J. Koltai, MD; Axay S. Kalathia, MD; Paul Stanislaw, MD; Heidi A. Heras, MD

Arch Otolaryngol Head Neck Surg. 1997;123(7):685-688.

Abstract
Objective
To quantify that the use of powered instrumentation for adenoidectomy is an improvement over traditional techniques.

Design
Retrospective case series of 40 consecutive children undergoing power-assisted adenoidectomy compared with 40 consecutive children undergoing conventional transoral adenoidectomy with a curet.

Setting
Tertiary care center.

Main Outcome Measures
Operative time, blood loss, length of hospitalization, and complications.

Results
With power-assisted adenoidectomy, the mean operative time was significantly faster (11 minutes vs 19 minutes for the conventional method), mean blood loss was not significantly different (22 mL vs 32 mL for the conventional method), mean length of hospitalization after the procedure was not significantly different (2.95 hours vs 2.8 hours for the conventional method), and there were no surgical complications with either technique.

Conclusion
In comparison with conventional techniques, power-assisted adenoidectomy provides significant advantages that are subjectively apparent but can also be objectively measured.

Arch Otolaryngol Head Neck Surg. 1997;123:685-688

Author Affiliations
From the Section of Pediatric Otolaryngology, Albany Medical College, Albany, NY. Dr Koltai is a consultant for the Linvatec Corp, Largo, Fla.

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