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Comparison of Power-Assisted Adenoidectomy vs Adenoid Curette Adenoidectomy
Paul Stanislaw, Jr, MD;
Peter J. Koltai, MD;
Paul J. Feustel, PhD
Arch Otolaryngol Head Neck Surg. 2000;126:845-849.
Objective To compare the safety and efficacy of power-assisted adenoidectomy (PAA) vs adenoid curette adenoidectomy (ACA).
Design A prospective randomized study.
Setting Children's hospital of a tertiary care medical center.
Patients Ninety patients (aged 1-13 years) underwent PAA, and 87 patients (aged 1-12 years) underwent ACA.
Main Outcome Measures The parameters evaluated were operative time, blood loss, completeness and depth of resection, injuries to surrounding structures, short- and long-term complications, surgeon satisfaction with the procedure, and parents' assessment of the patient's postoperative recovery period.
Results The PAA was 20% faster (P<.001) and had 27% less blood loss (P<.001) than the ACA. It provided a more complete resection(P<.001) and better control of the depth of resection (P<.05). Surgeon satisfaction was greater with PAA (P<.001). There was no difference in the recovery period or parent satisfaction. One patient in the PAA group returned to the operating room for control of postoperative bleeding, and 1 child in the ACA group returned to the hospital for postoperative dehydration.
Conclusion The PAA provides a faster, dryer, more complete, and more surgically satisfying resection than the ACA.
From the Division of Otolaryngology (Dr Stanislaw) and the Department of Surgery (Drs Stanislaw and Feustel), Albany Medical College, Albany, NY; and the Section of Pediatric Otolaryngology, Department of Otolaryngology, The Cleveland Clinic Foundation, Cleveland, Ohio (Dr Koltai). Dr Koltai is a consultant for Linvatec Corporation, Largo, Fla.
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