RT Journal Article
T1 Coblator adenoidectomy in pediatric patients: a state-of-the-art review
A1 Calvo-Henriquez, Christian
A1 Fernández Rueda, María del Pino
A1 Garcia-Lliberos, Ainhoa
A1 Maldonado-Alvarado, Byron
A1 Mota-Rojas, Xenia
A1 Maniaci, Antonino
A1 Iannella, Giannicola
A1 Jimenez-Huerta, Ignacio
K1 Adenoidectomy 
K1 Adenotonsillectomy 
K1 Coblation 
K1 Coblator 
K1 Power-assisted adenoidectomy
AB IntroductionAdenoid hypertrophy is one of the main causes of nasal obstruction in ‘children. Adenoid hypertrophy can be approached either with nasal corticosteroids, or surgically when medical treatment fails. Different adenoidectomy techniques have been proposed to reduce morbidity and surgical risks, with a consequent marked increase in the use of new surgical procedures in recent years, with a progressive increase in the use of coblation. This state-of-the-art review aims to systematically review the current literature on the role of coblation in adenoidectomy.MethodsThe selection criteria included children submitted to adenoidectomy with coblator vs other techniques. 11 research questions were defined. 4 databases were explored by four authors: PubMed (Medline), the Cochrane Library, EMBASE and SciELO. The level of evidence and quality of the selected articles were assessed according to assessed according to the Quality Assessment Checklist of the National Institute for Health and Clinical Excellence.Results20 studies met the inclusion criteria: 2 metanalysis, 12 randomized clinical trial, 2 non-randomized clinical trial, 1 prospective cohort study, and 3 retrospective cohort study. It encompassed a total population of 8375 participants. Regarding the different surgical techniques, 18 studies (excluding metanalysis) performed coblation (n = 1550), 6 microdebridement (n = 883), 15 curettage (n = 4016), and 1 suction coagulation (n = 1926).ConclusionCoblator adenoidectomy appears to offer better adenoid control compared to curettage, with a possible, although not confirmed lower rate of revision surgery. Similarly, this greater resection of adenoid tissue seems to be related to a greater reduction of nasal obstruction. The advantages of this technique are mainly less surgical bleeding—although it is not clear this is a clinically relevant difference, and less postoperative pain compared to cold curettage. The difference in pain is small, as adenoidectomy is not a painful surgery in general. There is little evidence on the control of OME and comparison with other techniques such as microdebrider adenoidectomy
PB Springer
SN 0937-4477
YR 2023
FD 2023-07-26
LK http://hdl.handle.net/10347/31204
UL http://hdl.handle.net/10347/31204
LA eng
NO European Archives of Oto-Rhino-Laryngology (2023) 280:4339–4349
DS Minerva
RD 24 abr 2026