{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T11:06:42Z","timestamp":1779966402962,"version":"3.53.1"},"reference-count":11,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T00:00:00Z","timestamp":1779926400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Background and Objectives: Adenoidectomy is a common pediatric procedure performed and endoscopic, instrumented techniques such as a powered microdebrider and coblation aim to improve visualization and completeness of resection while potentially reducing pain, bleeding and recurrence compared with blind curettage. To compare clinical outcomes and safety of endoscopic-assisted adenoidectomy using a microdebrider versus coblation in pediatric patients. Materials and Methods: This retrospective comparative cohort study included 50 children who underwent endoscopic-assisted adenoidectomy using either a microdebrider (n = 25) or coblation (n = 25) during a 6-month study period. Operative time (skin-to-skin), pain scores at 24 h, early complications at prespecified intervals, and endoscopic assessment at 6 months were extracted from medical records and compared. Results: Groups were comparable at baseline (mean age \u2248 9.6 years, all baseline p &gt; 0.05). Mean skin-to-skin operative time was significantly shorter with the microdebrider (24.9 \u00b1 6.9 min) than with coblation (31.1 \u00b1 8.4 min), p = 0.004. Mean 24 h VAS did not differ significantly between the microdebrider and coblation (3.20 \u00b1 1.21 vs. 2.73 \u00b1 1.30, p = 0.191). Early complication rates (postoperative bleeding within 48 h, infection within 7 d, halitosis, neck pain) were low and showed no statistically significant differences (all p &gt; 0.05). Conclusions: Both microdebrider and coblation endoscopic adenoidectomy were safe and effective in this cohort study. The microdebrider was associated with a shorter operative time in our setting, while early pain, short-term complications and six-month endoscopic residual\/recurrence were similar between techniques.<\/jats:p>","DOI":"10.3390\/medicina62061048","type":"journal-article","created":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T09:57:43Z","timestamp":1779962263000},"page":"1048","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Endoscopic-Assisted Adenoidectomy by Microdebrider Versus Coblation in Children"],"prefix":"10.3390","volume":"62","author":[{"given":"Hesham","family":"Abdelsalam","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, Faculty of Medicine, Al-Azhar University, Cairo 11675, Egypt"},{"name":"Department of Otorhinolaryngology, Prince Sultan Military Armed Forces Hospital, Riyadh 12233, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Abdalla","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Faculty of Medicine, Al-Azhar University, Cairo 11675, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Najlaa","family":"Aied","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Prince Sultan Military Armed Forces Hospital, Riyadh 12233, Saudi Arabia"},{"name":"Department of Otorhinolaryngology, Faculty of Medicine, Al-Azhar University for Girls, Damietta 34517, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sherif M.","family":"Elaidy","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Faculty of Medicine, Al-Azhar University for Girls, Damietta 34517, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Osama","family":"Refaat","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Faculty of Medicine, Al-Azhar University, Cairo 11675, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1447-8841","authenticated-orcid":false,"given":"Mohamed","family":"Shams Eldin","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Faculty of Medicine, Al-Azhar University, Cairo 11675, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,5,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"745","DOI":"10.1002\/lary.26904","article-title":"Comparison of pediatric adenoidectomy techniques","volume":"128","author":"Sjogren","year":"2018","journal-title":"Laryngoscope"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"2154","DOI":"10.1002\/lio2.949","article-title":"Adverse events of coblation or microdebrider in pediatric adenoidectomy: A retrospective analysis in 468 patients","volume":"7","author":"Liu","year":"2022","journal-title":"Laryngoscope Investig. Otolaryngol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"4339","DOI":"10.1007\/s00405-023-08094-7","article-title":"Coblator adenoidectomy in pediatric patients: A state-of-the-art review","volume":"280","author":"Maniaci","year":"2023","journal-title":"Eur. Arch. Otorhinolaryngol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/j.ijporl.2017.10.033","article-title":"Coblation versus microdebrider in pediatric adenoidectomy","volume":"104","author":"Mularczyk","year":"2018","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1007\/s12070-019-01736-5","article-title":"The comparison between microdebrider assisted adenoidectomy and coblation adenoidectomy: Analyzing the intraoperative parameters and post-operative recovery","volume":"72","author":"Singh","year":"2020","journal-title":"Indian J. Otolaryngol. Head Neck Surg."},{"key":"ref_6","first-page":"395","article-title":"Assessment of outcomes of endoscopic-assisted adenoidectomy: Microdebrider versus coblation in children","volume":"30","author":"Metwally","year":"2023","journal-title":"Zagazig Univ. Med. J."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1177\/00034894221081612","article-title":"Comparison between different approaches applied in pediatric adenoidectomy: A network meta-analysis","volume":"132","author":"Sun","year":"2023","journal-title":"Ann. Otol. Rhinol. Laryngol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1186\/s40463-023-00634-9","article-title":"Comparison of the efficacy and safety of conventional curettage adenoidectomy with those of other adenoidectomy surgical techniques: A systematic review and network meta-analysis","volume":"52","author":"Malas","year":"2023","journal-title":"J. Otolaryngol. Head Neck Surg."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1186\/s43163-021-00102-z","article-title":"Comparative study between conventional adenoidectomy and adenoidectomy using microdebrider","volume":"37","author":"Khalifa","year":"2021","journal-title":"Egypt. J. Otolaryngol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"3735","DOI":"10.1007\/s00405-024-08617-w","article-title":"Comparison of classical, coblation, and combined adenoidectomy techniques in pediatric patients: A single-blind, prospective study","volume":"281","author":"Alaskarov","year":"2024","journal-title":"Eur. Arch. Otorhinolaryngol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1017\/S0022215119000550","article-title":"Endoscopic assisted powered adenoidectomy versus conventional adenoidectomy: A randomised controlled trial","volume":"133","author":"Juneja","year":"2019","journal-title":"J. Laryngol. Otol."}],"container-title":["Medicina"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1648-9144\/62\/6\/1048\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T10:40:23Z","timestamp":1779964823000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1648-9144\/62\/6\/1048"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,28]]},"references-count":11,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2026,6]]}},"alternative-id":["medicina62061048"],"URL":"https:\/\/doi.org\/10.3390\/medicina62061048","relation":{},"ISSN":["1648-9144"],"issn-type":[{"value":"1648-9144","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,28]]}}}