COMPARATIVE EFFECTIVENESS OF SELECTIVE ENDOSCOPICALLY GUIDED LASER ADENOIDECTOMY IN CHILDREN WITH CHRONIC NASAL OBSTRUCTION

Relevance. Adenoid hypertrophy is a leading cause of chronic nasal obstruction in children and significantly affects quality of life.

Objective. To evaluate the efficacy and safety of selective endoscopic laser adenoidectomy compared with conventional curettage adenoidectomy.

Materials and Methods. A single-center comparative study (Almaty, Kazakhstan) included 58 patients: 46 underwent laser adenoidectomy and 12 curettage adenoidectomy. Recurrence rates, subjective symptoms, rhinomanometry and tympanometry results, and late complications were assessed at 3 and 6 months.

Results. Recurrence rates were significantly lower after laser adenoidectomy (2.2% and 4.3%) compared to curettage (50.0% and 41.7%) at 3 and 6 months, respectively (p < 0.01). Subjective symptoms and functional impairments were less frequent in the laser group. No significant differences in complication rates were observed.

Conclusions. Endoscopic laser adenoidectomy is a more effective and safe alternative to conventional curettage adenoidectomy in children with chronic nasal obstruction.

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