Yavuz Selim Yıldırım
Prof. Dr. Yavuz Selim YILDIRIM; İstanbul Üniversitesi, Tıp Fakültesi’nden mezun oldu. Uzmanlık eğitimini, Haseki Eğitim ve Araştırma Hastanesi’nde tamamladıktan sonra sırasıyla Amerikada’da Johns Hopkins University, Department of Otolaryngology-Head and Neck Surgery Clinic, Harvard Univesity, Harvard Medical School, Boston Children’s Hospital, Tufts University, Otolaryngology- Head and Neck Surgery ve Cleveland Clinic, Head and Neck Institue, Department of Otolaryngology-Head and Neck Surgery gibi kliniklerde bulundu. Prof. Dr. Yavuz Selim Yıldırım, doçentlik ünvanını Bezmialem Üniversitesi Tıp Fakültesi’nde almıştır. Profesörlük Ünvanını Doguş Üniversitesinde almıştır.
Session
Introduction: Adenoid 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. In this presentation, I will talk about the advantages and disadvantages of Coblation adenoidectomy with a video.
Benefits of Coblation Adenoidectomy (compared to traditional methods like cold curettage):
Precise tissue removal: The controlled nature of coblation allows for more accurate removal of the adenoid tissue while minimizing damage to surrounding normal tissues, including the Eustachian tube openings.
Less bleeding: The Coblation technology helps to simultaneously ablate tissue and coagulate blood vessels, leading to significantly reduced intraoperative blood loss and often less postoperative bleeding.
Reduced pain and discomfort: Lower operating temperatures result in less tissue trauma, which translates to less pain for the patient after surgery and a reduced need for strong pain medications.
Faster recovery: Due to less pain and tissue damage, patients typically experience a quicker recovery time and can return to their normal activities, including school, sooner.
Lower risk of complications: The precision of coblation can reduce the likelihood of complications such as infection or injury to nearby structures.
Reduced recurrence rate: Some studies suggest that coblation may lead to a lower chance of adenoid regrowth compared to traditional methods, as it allows for more complete removal.
Improved visualization: When performed with endoscopic guidance, the surgeon has an excellent view of the surgical field, ensuring thorough removal and minimizing residual tissue.
Conclusion: Coblator adenoidectomy appears to offer better adenoid control and lower recurrence rate additionally Another advantages of this technique are mainly less surgical bleeding in adenoidectomy .