REVIEW   

Otorhinolaryngology 2021 December;71(4):273-7

DOI: 10.23736/S2724-6302.21.02351-1

Copyright © 2021 EDIZIONI MINERVA MEDICA

lingua: Inglese

Pediatric adenoidectomy: where we are? A comparative review between cold curettage and emerging techniques

Pietro DE LUCA ¹ ✉, Claudia CASSANDRO ², Matteo CAVALIERE ¹, Federico M. GIOACCHINI ³, Andrea ALBERA ², Massimo RALLI ⁴, Marco DE VINCENTIIS ⁴, Ettore CASSANDRO ¹, Alfonso SCARPA ¹

¹ Department of Medicine, Surgery and Dentistry, University of Salerno, Salerno, Italy; ² Department of Surgical Sciences, University of Turin, Turin, Italy; ³ Department of Specialized Clinical Sciences and Odontostomatology, Marche Polytechnic University, Ancona, Italy; ⁴ Department of Sense Organs, Sapienza University, Rome, Italy

INTRODUCTION: Adenoid hypertrophy is one of the most frequent pathological condition in children. In the last few years, different adenoidectomy techniques have been proposed to reduce morbidity and surgical risk; the classical surgical technique performed with an adenoid curette has recently evolved by the introduction of the endoscopic nasal instrumentation and of many surgical innovations, e.g. microdebrider, bipolar coagulation and coblation. The purpose of this review was to critically analyze the emerging surgical trends in adenoid surgery.
EVIDENCE ACQUISITION: We performed a comprehensive literature search of articles comparing adenoidectomy surgical techniques that were indexed in PubMed and Web of Science and published from January 1900 to March 13, 2020, using the Medical Subject Headings (MeSH) terms “pediatric,” and “adenoidectomy” to affirm the need for a narrative review on the topic of adenoidectomy techniques.
EVIDENCE SYNTHESIS: Through Pubmed we identified 1918 records. Thirty studies were included in the narrative synthesis, in which cold curettage technique was compared to newest adenoidectomy techniques.
CONCLUSIONS: Overall, we can consider that recent techniques in adenoid surgery appear to be beneficial as traditional cold curettage adenoidectomy, especially regarding the complete removal of the adenoid tissue and the less traumatism on the Eustachian tubes due to the better visualization of the rhinopharynx; postoperative pain and mucosa healing-time should be considered in the choice.

KEY WORDS: Adenoids; Surgical procedures, operative; Systematic review