Comparative study for efficacy and safety of adenoidectomy according to the surgical method: A prospective multicenter study

Jeong Whun Kim, Hong Joong Kim, Woo Hyun Lee, Dong Kyu Kim, Sung Wan Kim, Young Hyo Kim, Jung Gwon Nam, Seok Won Park, Chan Soon Park, Woo Yong Bae, Nam Kyung Yeo, Tae Bin Won, Seung Hoon Lee, Tae Hoon Lee, Hyoung Joo Lee, Sang Wook Kim, Sung Wook Jeong, Jeong Seok Choi, Doo Hee Han, Ji Ho Choi

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Abstract

Background/Objective: There have been several operative techniques for adenoidectomy and their efficacy and morbidity are different according to the technique. This prospective multicenter study was aimed to compare the efficacy and morbidity of coblation adenoidectomy (CA) with those of power-assisted adenoidectomy. Study Design: Prospective multi-institutional study. Methods: Children who underwent CA, power-assisted adenoidectomy with cauterization (PAA+C) or without cauterization (PAA-C) due to adenoid hypertrophy were enrolled from 13 hospitals between July 2013 and June 2014. Mean operation time, degree of intraoperative bleeding and postoperative bleeding rate were evaluated. Results: A total of 388 children (mean age ± standard deviation = 6.6 ± 2.5 years; 245 males and 143 females) were included. According to the adenoidectomy technique, the children were classified into 3 groups: (1) CA (n = 116); (2) PAA+C (n = 153); and (3) PAA-C (n = 119). Significant differences were not found in age and sex among three groups. In the CA group, mean operation time was significantly shorter (P < 0.001) and degree of intraoperative bleeding was significantly less (P < 0.001) compared to PAA+C or PAA-C group. Delayed postoperative bleeding rate of PAA-C group was significantly higher than that of CA or PAA+C group (P = 0.016). Conclusions: This prospective multicenter study showed that CA was superior to PAA in terms of mean operation time and degree of intraoperative bleeding.

Original languageEnglish
Article number0135304
JournalPLoS One
Volume10
Issue number8
DOIs
Publication statusPublished - 2015 Aug 12

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ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)
  • Agricultural and Biological Sciences(all)

Cite this

Kim, J. W., Kim, H. J., Lee, W. H., Kim, D. K., Kim, S. W., Kim, Y. H., Nam, J. G., Park, S. W., Park, C. S., Bae, W. Y., Yeo, N. K., Won, T. B., Lee, S. H., Lee, T. H., Lee, H. J., Kim, S. W., Jeong, S. W., Choi, J. S., Han, D. H., & Choi, J. H. (2015). Comparative study for efficacy and safety of adenoidectomy according to the surgical method: A prospective multicenter study. PLoS One, 10(8), [0135304]. https://doi.org/10.1371/journal.pone.0135304