Our Summary

This study compared two different methods of adenoidectomy (surgery to remove the adenoids) in children. The two methods are curettage adenoidectomy and endoscopic-assisted microdebrider adenoidectomy. These surgeries were performed on children who had enlarged adenoids but did not have fluid build-up in the middle ear.

The researchers monitored the pressure in the children’s eardrums before surgery, and then one and seven days after. They found that the pressure in the eardrums of children who had the curettage method changed significantly on the first day after surgery, but then returned to normal by the seventh day. However, the pressure in the eardrums of children who had the endoscopic-assisted method did not change significantly at any point.

This means that the endoscopic-assisted method is less likely to cause problems with the Eustachian tube (the tube that connects the middle ear to the back of the nose) after surgery. Problems with the Eustachian tube can lead to hearing loss, ear infections, and other complications. So, the endoscopic-assisted method might be a safer choice for adenoidectomy in children.

FAQs

  1. What are the two methods of adenoidectomy mentioned in the study?
  2. How does the endoscopic-assisted method of adenoidectomy affect the pressure in the eardrums of children post-surgery?
  3. What implications does the endoscopic-assisted method have on the Eustachian tube and why is it considered safer?

Doctor’s Tip

A helpful tip a doctor might tell a patient about adenoidectomy is to discuss with the surgeon the different methods available and their potential risks and benefits. It is important to ask questions and make an informed decision about which method is best for your child based on their individual situation. Additionally, following the surgeon’s post-operative instructions and attending follow-up appointments are crucial for a successful recovery.

Suitable For

Patients who are typically recommended for adenoidectomy include those with:

  1. Enlarged adenoids causing breathing difficulties, especially during sleep (such as obstructive sleep apnea)
  2. Recurrent or chronic sinus infections or ear infections
  3. Chronic nasal congestion or chronic runny nose
  4. Recurrent or chronic sore throats
  5. Difficulty swallowing or breathing through the nose
  6. Ear problems related to Eustachian tube dysfunction, such as hearing loss or frequent ear infections

It is important to consult with a healthcare provider to determine if adenoidectomy is the best course of action for a specific patient. The choice of surgical method, such as curettage adenoidectomy or endoscopic-assisted microdebrider adenoidectomy, may depend on the individual patient’s medical history and condition.

Timeline

Before the adenoidectomy:

  • The patient would have symptoms such as difficulty breathing through the nose, snoring, sleep apnea, recurrent ear infections, and/or sinus infections.
  • The patient would undergo a physical examination and possibly imaging tests to confirm the diagnosis of enlarged adenoids.
  • The patient and their family would discuss the risks and benefits of the surgery with their healthcare provider.
  • A date for the surgery would be scheduled, and the patient may be instructed to avoid certain medications or food before the procedure.

After the adenoidectomy:

  • The patient would undergo the surgery, either with the curettage or endoscopic-assisted microdebrider method.
  • The patient would be monitored in the recovery room and then discharged home the same day.
  • The patient may experience mild pain, discomfort, and difficulty swallowing in the days following the surgery.
  • The patient may be prescribed pain medication and instructed on how to care for the surgical site.
  • The patient would have a follow-up appointment with their healthcare provider to ensure proper healing and address any concerns.

Overall, the patient would experience relief from their symptoms of enlarged adenoids after the surgery and may see improvements in their overall quality of life.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with adenoidectomy?
  2. How long is the recovery time after adenoidectomy?
  3. Will my child experience any pain or discomfort after the surgery? How can it be managed?
  4. Are there any restrictions on physical activity or diet following the surgery?
  5. How will adenoidectomy affect my child’s ability to breathe or speak?
  6. How often will follow-up appointments be needed after the surgery?
  7. What signs should I watch for that may indicate a complication or infection after the surgery?
  8. Are there any long-term effects or considerations to keep in mind after adenoidectomy?
  9. What is the success rate of adenoidectomy in improving symptoms such as nasal congestion or snoring?
  10. Are there any alternative treatments or therapies that could be considered instead of adenoidectomy?

Reference

Authors: Atilla MH, Kaytez SK, Kesici GG, Baştimur S, Tuncer S. Journal: Braz J Otorhinolaryngol. 2020 Jan-Feb;86(1):38-43. doi: 10.1016/j.bjorl.2018.08.004. Epub 2018 Sep 25. PMID: 30322828