Comparison of transoral power-assisted endoscopic adenoidectomy to curettage adenoidectomy

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dc.authorid0000-0003-4904-279X
dc.contributor.authorÖztürk, Özmen
dc.contributor.authorPolat, Şenol
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:37:27Z
dc.date.available10.07.201910:49:14
dc.date.available2019-07-10T19:37:27Z
dc.date.issued2012
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kulak Burun Boğaz Hastalıkları Ana Bilim Dalı
dc.description.abstractIntroduction: The aim of this prospective and randomized study was to compare patients who underwent curettage adenoidectomy (CA) or transoral power-assisted endoscopic adenoidectomy (PAEA) performed as isolated procedures by a single surgeon over a period of 7 years. The success of an adenoidectomy has been evaluated by assessing the amount of reduction in the adenoid size and the symptomatic improvement at the sixth postoperative month. Methods: Patients' nasal airway obstruction was graded by the parents of the patient on a visual analog scale (VAS), with a range from 0 to 10, with grade 10 representing total obstruction. The ratio of the choanal opening obstructed by an adenoid mass was measured and expressed in percentages as representative of the adenoid size. Preoperative and 6-month postoperative adenoid sizes were compared. Results: Fifty-three patients (CA group 27 patients/PAEA group 26 patients) completed the study. In the CA group, VAS score improved from the preoperative score of 8.63 ± 0.88 to the 6-month score of 2.22 ± 1.01 (P lt; 0.0001); and in the PAEA group, the preoperative VAS score of 8.69 ± 0.84 improved to 2.08 ± 1.05 in the same period (P lt; 0.0001). No statistical significance was found when VAS score improvements were compared (P = 0.4569). The average ratio of choanal opening obstructed by an adenoid mass improved from the preoperative ratio of 89.41% ± 6.48% to the 6-month ratio of 7.85% ± 2.28% in the CA group; and the preoperative ratio of 90.19% ± 6.95% in the PAEA group improved to 3.65% ± 1.38% after 6 months. The reduction of adenoid size was significantly superior in PAEA than CA (P lt; 0.0001). The operative time in PAEA was significantly shorter than that in CA (P lt; 0.0001). Conclusion: Although symptomatic improvement at the 6-month follow-up is statistically indifferent, PAEA has been shown to be superior to CA with its superior performance in providing a near-total elimination of the adenoid mass in a shorter operating time.
dc.identifier.citationÖztürk, Ö. ve Polat, Ş. (2012).Comparison of transoral power-assisted endoscopic adenoidectomy to curettage adenoidectomy. Advances in Therapy, 29(8), 708-721. https://dx.doi.org/10.1007/s12325-012-0036-6
dc.identifier.doi10.1007/s12325-012-0036-6
dc.identifier.endpage721
dc.identifier.issn0741-238X
dc.identifier.issue8
dc.identifier.scopusqualityQ2
dc.identifier.startpage708
dc.identifier.urihttps://hdl.handle.net/20.500.12511/1405
dc.identifier.urihttps://dx.doi.org/10.1007/s12325-012-0036-6
dc.identifier.volume29
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofAdvances in Therapyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAdenoid
dc.subjectAdenoidectomy
dc.subjectComplications
dc.subjectCurettage
dc.subjectEndoscopic surgical procedure
dc.titleComparison of transoral power-assisted endoscopic adenoidectomy to curettage adenoidectomy
dc.typeArticle

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