Gold Laser Versus Curettage Adenoidectomy: Incidence of Complications and Otorrhea After Concurrent Pressure-Equalization Tube Placement

Objectives: To measure the incidence of postoperative complications and otorrhea in patients undergoing Gold laser or curettage adenoidectomy with pressure‐equalization (PE) tube placement. Study Design: A prospective study of 100 patients, ages 8 to 48 months, undergoing Gold laser (n = 50) or cure...

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Bibliographic Details
Published in:The Laryngoscope 2007-11, Vol.117 (11), p.2026-2029
Main Authors: Worley, N Knight, Abdalkhani, Arman, Hagmann, Michael A., Belafsky, Peter C., Amedee, Ronald G.
Format: Article
Language:English
Subjects:
adenoidectomy
Adenoidectomy - methods
Biological and medical sciences
Child, Preschool
Chronic Disease
complications
Curettage
Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology
Female
Humans
Incidence
Infant
Laser
Laser Therapy - methods
Male
Medical sciences
Middle Ear Ventilation - methods
Non tumoral diseases
Otitis Media with Effusion - surgery
Otorhinolaryngology. Stomatology
otorrhea
Postoperative Complications - epidemiology
Prospective Studies
Treatment Outcome
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Summary:Objectives: To measure the incidence of postoperative complications and otorrhea in patients undergoing Gold laser or curettage adenoidectomy with pressure‐equalization (PE) tube placement. Study Design: A prospective study of 100 patients, ages 8 to 48 months, undergoing Gold laser (n = 50) or curettage adenoidectomy (n = 50) and PE tube placement in a pediatric outpatient setting. Methods: Pediatric patients with chronic otitis media with effusion and adenoid hypertrophy after failure of medical management were included in the study. Adenoid size and middle ear status were recorded at surgery. The total adenoidectomy procedure time was recorded. All patients were evaluated at 1 week, 1 month, and 4 months postoperatively. The incidence of nasal complications and otorrhea was recorded. Results: There was no statistical difference in age, race, sex, adenoid size, or middle ear status between groups. The laser group had a shorter procedure time (P = .001) and a lower incidence of otorrhea (P = .024). There was no difference in nasal complications between groups. Conclusions: The Gold laser adenoidectomy technique can be safely performed with PE tube placement and may offer advantages over the traditional curettage adenoidectomy technique.
ISSN:0023-852X
1531-4995
DOI:10.1097/MLG.0b013e31812e95fa