{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T05:09:28Z","timestamp":1787375368482,"version":"build-2736575974"},"reference-count":18,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T00:00:00Z","timestamp":1758585600000},"content-version":"vor","delay-in-days":84,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["OTO Open"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the clinical and histopathological advantages of a modified technique\u2014In Saline Coblation Adenoidectomy (ISCA)\u2014over conventional coblation adenoidectomy (CCA) in pediatric patients, with respect to intraoperative efficiency, tissue preservation, and postoperative outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>This study was designed as a prospective, randomized, single\u2010blind trial. Patients were randomly assigned to two groups, Group A \u201cCCA\u201d and Group B \u201cISCA,\u201d each consisting of 25 children. Following the approval of the Medipol University Ethics Committee, patients who underwent adenoidectomy or adenotonsillectomy were included in the study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>In Group A, adenoid tissue was ablated using the coblator's built\u2010in irrigation system. For Group B, the nasopharynx and, partially, the oral cavity were continuously filled with saline solution delivered via the nasal passage. Excess fluid was aspirated from the mouth using a dedicated suction tip. This ensured that the endoscope and coblator tip remained immersed in saline throughout the procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospective, randomized, single\u2010blind study was conducted involving 50 pediatric patients who underwent either conventional coblation (Group A, n\u2009=\u200925) or ISCA (Group B, n\u2009=\u200925). Operative time, intraoperative blood loss, postoperative pain scores, and wand\u2010related issues were recorded. Histopathological analysis of adenoid specimens was performed to assess tissue integrity and thermal injury. Patients were followed for 6 to 18 months postoperatively for recurrence and complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>ISCA significantly reduced operative time compared to CCA (24\u2009\u00b1\u20095.8\u2009minutes vs 33\u2009\u00b1\u20098.5\u2009minutes; <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.05). Wand tip clogging and secondary wand use were observed only in Group A. Histopathological analysis revealed greater epithelial preservation and reduced carbonization in Group B (92% vs 0%; <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001). Postoperative complications such as transient velopharyngeal insufficiency and localized infection occurred exclusively in Group A, whereas no statistically significant difference in recurrence or residual tissue was noted between the groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The ISCA technique offers clear clinical advantages over conventional coblation by improving procedural efficiency, minimizing collateral thermal injury, and eliminating wand\u2010related delays. These findings support its wider adoption in high\u2010volume pediatric otolaryngology settings.<\/jats:p><\/jats:sec>","DOI":"10.1002\/oto2.70162","type":"journal-article","created":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T06:41:12Z","timestamp":1758696072000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Evaluating a Modified Coblation Technique in Adenoidectomy: A Single\u2010Blind Randomized Study"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5548-6488","authenticated-orcid":false,"given":"Necdet","family":"\u00d6z\u00e7elik","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology Istanbul Medipol University Health Care Practice and Research Center Esenler Hospital Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0128-6947","authenticated-orcid":false,"given":"Asl\u0131","family":"\u00c7ak\u0131r","sequence":"additional","affiliation":[{"name":"Department of Pathology Istanbul Medipol University Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3572-0062","authenticated-orcid":false,"given":"Elvin","family":"Alaskarov","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Istanbul Medipol University Health Care Practice and Research Center Esenler Hospital Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,23]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2020.06.200038"},{"issue":"2","key":"e_1_2_8_3_1","first-page":"74","article-title":"Adenoidectomy: conventional or endoscopic assisted?","volume":"10","author":"Goel AK","year":"2017","journal-title":"Clin Rhinol"},{"issue":"6","key":"e_1_2_8_4_1","first-page":"626","article-title":"Complications of microdebrider assisted endoscopic adenoidectomy","volume":"25","author":"Jaber MR","year":"2021","journal-title":"Curr Pediatr Res"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.14639\/0392-100X-N0150"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1053\/hn.1999.v121.a98201"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e31802ffe47"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s43163-021-00071-3"},{"issue":"1","key":"e_1_2_8_9_1","first-page":"38","article-title":"Coblation adenoidectomy our experience","volume":"4","author":"Thiagarjan B","year":"2014","journal-title":"Otolaryngol Online J"},{"issue":"8","key":"e_1_2_8_10_1","first-page":"1","article-title":"Coblation versus other surgical techniques for tonsillectomy","volume":"2017","author":"Pynnonen M","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(97)00159-6"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-024-08617-w"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-023-08094-7"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2020.110197"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0145561319882779"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-020-06178-2"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2017.10.033"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1258\/0022215021911031"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2012.11.033"}],"container-title":["OTO 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