Endoscopic adenoidectomy using suction-diathermy ablation in a Nigerian private healthcare institution: A review of 136 cases

Abstract

Background: Endoscopic-assisted adenoidectomy is a natural progression of a newer technology that allows a more complete adenoidectomy. The most common indication for adenoidectomy is adenoid hypertrophy with obstructive sleep apnea. Techniques and instruments for adenoidectomy have evolved over time, especially with the use of endoscopes, electrocautery, and power-assisted instruments. This study aims to review the experience with endoscopic power-assisted adenoidectomy, demonstrating its safety and efficacy. Patients and

Methods: This was a cross-sectional study conducted in the Shepherd Specialist Hospital, Sokoto, Nigeria, from January 2018 until November 2023. A preoperative diagnostic rigid nasal endoscopy with a 0° endoscope was done to assess the grade of the adenoid hypertrophy and to help select the candidate for surgery. Statistical analysis was carried out using SPSS version 25.0.

Results: The mean age of the patients was 5.05 ± 1.99 SD. Obstructive sleep apnoea in 54 patients (39.7%), nasal obstruction in 49 (36.0%), and snoring and breathing by mouth in 19 patients (14.0%) were the most common indications for the surgery. Every patient had one or more of these complaints. More males 85 (62.5%) participated in the study than females 51 (37.5%) with a male-to-female ratio of 1.7:1.

Conclusion: Although nasal endoscopes are fast becoming basic tools, powered instrumentation like the microdebrider is not common. The need for special equipment and the cost of the procedure have to be borne in mind. The newer method of endoscopic-assisted powered adenoidectomy was found to be a safe and useful tool for adenoidectomy.

Disclaimer: This article was originally published by WisdomGale Publishing, 14 Rue de Grand-Bigard, 1082 Brussels, Belgium, and was migrated to International Medical Publishing Group(IMPG), India after the change of Publisher.