Coblation versus suction Diathermy in Endoscopic Pediatric Adenoidectomy: Randomized clinical trial.

Objectives: the aim of the study is comparing endoscopic Coblation adenoidectomy and suction diathermy in terms of surgical duration, intraoperative blood loss, and postoperative complications such as foul odor, neck pain, and secondary bleeding, as well as patient recovery.

Patients and methods: prospective randomized double blinded controlled trial involving 210 patients who presented with adenoid hypertrophy. Randomization was done in two groups group A including 105 patients who underwent Endoscopic adenoidectomy by suction diathermy, Group B including 105 patients who underwent endoscopic adenoidectomy by Coblation technique. Patients were compared regarding intraoperative blood loss and operative time and postoperative bleeding, postoperative neck pain, and halitosis.

Results: When comparing the two groups, Group B had notably longer surgeries but experienced less pain after the operation, recovered more quickly, and had a lower chance of bad breath. there was no significant difference between both the groups regarding intraoperative blood loss CONCLUSION: both techniques are effective in management of adenoid hypertrophy, but results showed Endoscopic adenoidectomy with Coblation is favored over suction diathermy due to better endoscopic evaluation and postoperative outcomes.