الفهرس 
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Abstract
Adenoid surgery is one of the most common surgeries done by otolaryngologists.
Traditional adenoidectomy by curettage is the most common procedure used by otolaryngologists, but it is associated with many complications such as trauma of the torus and posterior pharyngeal wall muscles.
Increased amount of intraoperative blood loss, primary bleeding, recurrence of adenoid due to residual adenoid tissue, increased incidence of 2ry bleeding are the most frequent complications with the traditional curettage adenoidectomy.
More recently, with the advent of sinonasal endoscopy, it has become possible to remove adenoid tissue under direct visualization, with greater control of the procedure and the tissue to be removed
Suction coagulation is a combination of monopolar diathermy and suction to perform a controlled resection of the adenoids in a near bloodless field. A clear view of the entire resection is obtained with a mirror or endoscope. There is minimal blood loss and postoperative haemorrhage rate is extremely low.
Up till now, doubts remain about which surgical technique is ideal or best suited for performing adenoidectomy
Our aim of this study was to evaluate the results and complications of suction coagulation diathermy adenoidectomy in comparison with the traditional curettage adenoidectomy.
We conducted our study on 122 patients aged (3 -12 years) for adenoidectomy. Patients were assessed preoperatively by X-ray and by nasal endoscope for adenoid grading.
Patients were divided into 2 groups, (A) and (B). group A underwent traditional curettage adenoidectomy and group B underwent section coagulation diathermy adenoidectomy.
Both groups were assessed for intraoperative time, intra complications as operative blood loss, trauma and primary bleeding. Postoperative reactionary bleeding, postoperative bad odour, 2ry bleeding, recurrence and postoperative rhinolalia aperta were assessed postoperatively. Postoperative assessment was also done by nasal endoscope at the 3rd month and the 6th month postoperatively and nasopharyngeal X-ray at 6th month after operation.
Our results revealed the following:
Operative time was longer and was statistically significant in group A.
Amount of intraoperative blood loss was more abundant and highly statistically significant in group A.
Intraoperative trauma and primary bleeding were common and statistically significant in group A.
Reactionary bleeding was statistically significant in group A
Secondary bleeding, was frequent but non-significant in group A.
Neck stiffness was more frequent and significant in group B
Bad odour was more frequent and highly significant in group B.
Rhinolalia aperta was frequent but non-significant in group A.
Recurrence of adenoid was statistically significant in group A.
No recurrence of adenoid in group B
By discussing and comparing our results with other studies, we found that most of our results agreed with those studies.