This prospective study is designed to compare short and long term results of conventional cold curettage adenoidectomy in children performed without doing any endoscopic or mirror examination before ending the operation versus when combined with transoral endoscopic residue ablation using a wand.
Residual or recurrent adenoid tissue that causes persistence or recurrence of symptoms is observed frequently after conventional cold curettage adenoidectomy. New techniques to better visualize or excise the tissue in order to prevent this situation are being developed. This study aims to compare transoral endoscopic controlled adenoidectomy with conventional blind curettage adenoidectomy in terms of recurrent adenoid hypertrophy. Although there are other studies comparing the results of the two techniques in terms of early residual adenoid tissue and bleeding, no studies comparing the long term results were found in literature. This prospective study is planned to focus on both early examination of residual tissue and long term recurrence.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Transoral endoscopic examination of nasopharynx at the end of cold curettage adenoidectomy, and, if found, ablation of residual tissue.
Conventional cold curettage adenoidectomy without endoscopic examination for residual tissue.
Istanbul University, Istanbul Faculty of Medicine
Istanbul, Turkey (Türkiye)
Residual adenoid tissue evaluation with Parikh grade
Endoscopic examination of adenoid tissue postoperatively
Time frame: 1 year after surgery
Bleeding
The frequency of postoperative bleeding complication
Time frame: Up to 2 weeks after surgery
Otitis media with effusion
Persistency and recurrence of OME after adenoidectomy
Time frame: Up to 1 year after surgery
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