Electrocautery adenoidectomy compared with curettage and power-assisted methods.
OBJECTIVE
To compare electrocautery adenoidectomy with conventional (curettage) and power-assisted (endoscopic shaver) methods.


METHODS
Comparative review.


METHODS
Prospective and retrospective studies comparing electrocautery adenoidectomy and conventional curettage or power-assisted methods were reviewed to provide direct comparisons regarding specific outcome variables.


RESULTS
Electrocautery adenoidectomy is a precise, effective technique for removing adenoid tissue. Compared with curettage techniques, electrocautery involves less blood loss and shorter operating times. Power-assisted adenoidectomy also offers shorter operating times and less blood loss, but the necessary equipment is more expensive and more experience is required to attain proficiency with the technique.


CONCLUSIONS
Electrocautery adenoidectomy provides the benefits of minimization of operating time and blood loss at a lower cost than power-assisted adenoidectomy.
Elluru
Ravindhra G
RG
Department of Pediatric Otolaryngology, Children's Hospital Medical Center, Cincinnati, Ohio 45229, USA. elln84@chmcc.org
Johnson
Liane
L
Myer
Charles M
CM
D000233:Adenoidectomy / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D002986:Clinical Trials as Topic; D003475:Curettage / Q000379:methods*; D004564:Electrocoagulation / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D010147:Pain Measurement; D010149:Postoperative Pain / Q000517:prevention & control; D019106:Postoperative Hemorrhage / Q000517:prevention & control; D012680:Sensitivity and Specificity; D016896:Treatment Outcome