A retrospective observational study to assess the role of coblation in reducing pain and morbidity of adenoidectomy

Abstract

Aim: The aim of the study to evaluate the role of coblation in reducing pain and morbidity of adenoidectomy. Material and methods: This retrospective observational study was conducted in the department of ENT Nalanda Medical College and Hospital, Patna, Bihar, India for one year. Total 50 children who underwent coblation adenoidectomy were included in the study. A 0° endoscope was passed after nasal decongestion with 4% xylocaine and adrenaline solution. The nasal cavity and adenoids were inspected. A Boyle Davis mouth gag was applied and the Coblation technology was utilized, with Procise™ XP or Procise™ MAX tips being used to remove adenoid tissue and to achieve haemostasis simultaneously. Results: out of 50 patients 34 male and 16 female. Pre-operatively all 50 patients had disturbed sleep whereas in immediate post-operative period only 7 patients have disturbed sleep.76% patients did not have pain in immediate post-operative period and 90% had no pain when they visited hospital for first review, that is, one week after surgery. 36 (72%) patients had no episode of nasopharyngeal infection within the first one year. In our study 35(70%) patients had less than one day of hospital stay and 15(30%) patients had more than one day of hospital stay. Conclusion: we conclude that the endoscopic assisted coblation adenoidectomy is a safe and effective method of adenoidectomy.

Keywords: Adenoidectomy, Coblation, Obstructive sleep apnoea, Paediatric sleep apnoea.