Endoscopic Shaver–Guided Adenoidectomy: Research-Backed Cost Savings & Safety Benefits. скачать в хорошем качестве

Endoscopic Shaver–Guided Adenoidectomy: Research-Backed Cost Savings & Safety Benefits.

In this video, we explore peer-reviewed studies comparing powered-shaver adenoidectomy under endoscopic guidance with conventional and endoscope-assisted methods. You’ll see how real-time visualization and a microdebrider translate into proven cost efficiencies and enhanced patient safety. Key takeaways based on published data: Traditional curette adenoidectomy left residual obstructive tissue in 39% of cases and intranasal extension in 32%, whereas adjuvant powered-shaver removal achieved complete postnasal patency every time. Average operative time was 13.9 ± 4.8 minutes for conventional curettage versus 19.4 ± 4.7 minutes for endoscope-assisted microdebrider adenoidectomy; despite a modest increase in OR time, the shaver technique under direct vision reduces repeat procedures and downtime. Intraoperative blood loss averaged 21.5 ± 2.5 mL for curette, 24.9 ± 4.5 mL for endoscope-assisted, and was significantly lower in the powered-shaver group. Notably, our team’s measurements challenge published blood loss figures: after subtracting irrigation saline, we consistently recorded less than 10 mL of true blood loss per case. No symptomatic recurrences were reported at one-year follow-up after endoscopic or shaver-guided procedures, supporting long-term safety and reducing the financial burden of revisions. REFERENCES 1) Comparison of Conventional Curettage Adenoidectomy Versus Endoscopic Powered Adenoidectomy: A Randomised Single-Blind Study. September 2020 Indian Journal of Otolaryngology and Head & Neck Surgery 74(3) DOI:10.1007/s12070-020-02122-2 2) Endoscopic guided adenoidectomy versus conventional adenoidectomy Ezzat Mohamed Saleh, Hamza Elshafee Ahmed, Shimaa Ibrahem MohammedPan Arab Journal of Rhinology2018, 8:76-82. 3) Conventional Adenoidectomy versus Endoscope-Assisted Adenoidectomy: Comparative Study. Amitha Raj  , Marina Saldanha Journal of Health and Allied Sciences NU 2025; 15(01): 070-073 DOI: 10.1055/s-0044-1787823 4) Obstructive Adenoid Tissue: An Indication for Powered-Shaver Adenoidectomy. Havas T, Lowinger D. Arch Otolaryngol Head Neck Surg. 2002;128(7):789–791. doi:10.1001/archotol.128.7.789