Comparison of power-assisted adenoidectomy vs adenoid curette adenoidectomy.
OBJECTIVE
To compare the safety and efficacy of power-assisted adenoidectomy (PAA) vs adenoid curette adenoidectomy (ACA).


METHODS
A prospective randomized study.


METHODS
Children's hospital of a tertiary care medical center.


METHODS
Ninety patients (aged 1-13 years) underwent PAA, and 87 patients (aged 1-12 years) underwent ACA.


METHODS
The parameters evaluated were operative time, blood loss, completeness and depth of resection, injuries to surrounding structures, short- and long-term complications, surgeon satisfaction with the procedure, and parents' assessment of the patient's postoperative recovery period.


RESULTS
The PAA was 20% faster (P<.001) and had 27% less blood loss (P<.001) than the ACA. It provided a more complete resection(P<.001) and better control of the depth of resection (P<.05). Surgeon satisfaction was greater with PAA (P<.001). There was no difference in the recovery period or parent satisfaction. One patient in the PAA group returned to the operating room for control of postoperative bleeding, and 1 child in the ACA group returned to the hospital for postoperative dehydration.


CONCLUSIONS
The PAA provides a faster, dryer, more complete, and more surgically satisfying resection than the ACA.
Stanislaw
P
P
Section of Pediatric Otolaryngology, Cleveland Clinic Foundation, OH 44195-001, USA.
Koltai
P J
PJ
Feustel
P J
PJ
D000233:Adenoidectomy / Q000379:methods*; D016063:Blood Loss, Surgical; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D011183:Postoperative Complications; D011446:Prospective Studies; D012449:Safety; D016896:Treatment Outcome