Abstract
Adenoidectomy is one of the most common surgical techniques performed in Otorhinolaryngology. Several approaches have been described for adenoidectomy. This paper aims to compare between the Conventional Curette Adenoidectomy (CCA) and the Suction Cautery Adenoidectomy (SCA) in terms of the operation duration, intraoperative bleeding, and postoperative reoccurrence of the symptoms. A retrospective, randomized case-control study was designed to assess these objectives. Data of 241 patients were collected from King Abdul-Aziz University hospitals' medical records between January 1st, 2013 and December 31st, 2019, and statistical analysis was performed. Two hundred forty-one patients were enrolled in the study, with ages ranging from 1 to 14 years. Most of the patients were males (60.2%). Most of the patients who required a second operation belonged to the CCA group (9 out of 10). The regrowth of adenoidal tissue was faster among the CCA group compared to SCA. There was a statistically significant difference between the techniques regarding the reoccurrence of snoring. The rest of the symptoms as well as post-operative bleeding were not statistically significant. In conclusion, while revision adenoidectomy was more in those who underwent CCA, further investigations need to be conducted to ensure the statistically significant difference between the two approaches regarding the duration of operation, tissue regrowth, and the amount of bleeding.