Comparison of Outcomes of Adenoidectomy by Endoscopic Microdebrider and Conventional Method: An Observational Study

Background: Adenoidectomy is a common pediatric procedure for treating adenoid hypertrophy, which can cause nasal obstruction, sleep disorders, and recurrent infections. Conventional curettage is blind and risks incomplete removal, while endoscopic microdebrider techniques offer improved precision and outcomes. Objectives: This study aimed to compare the efficacy, safety, and postoperative outcomes of endoscopic microdebrider-assisted adenoidectomy versus conventional curettage in children. Methodology: Aprospective comparative study was conducted on 50 patients (aged 3–14 years) divided into two groups: conventional adenoidectomy (n=25) and endoscopic microdebrider-assisted adenoidectomy (n=25). Parameters assessed included operative time, blood loss, completeness of tissue removal, postoperative pain (VAS score), and recovery time. Statistical analysis was performed using SPSS version 28. Results: The endoscopic group demonstrated significantly lower blood loss (10.8±2.8 ml vs. 31.0±5.6 ml, p<0.001), more complete tissue removal (80% vs. 6%, p<0.001), and reduced postoperative pain (VAS score 3.1±0.3 vs. 3.9±0.4, p<0.001). However, operative time was longer in the endoscopic group (14.7±2.5 min vs. 10.5±3.3 min, p<0.001). Recovery time was shorter in the endoscopic group (2.6±0.6 days vs. 3.2±0.6 days, p<0.001). Conclusion: Endoscopic microdebrider-assisted adenoidectomy offers superior outcomes, including reduced blood loss, better tissue removal, and faster recovery, despite longer operative times. It is a safe and effective alternative to conventional methods.