Low-temperature plasma adenoidectomy versus conservative treatment for children with adenoid hypertrophy and allergic rhinitis: A non-randomized observational study.
88.1% of children improved after low-temperature radiofrequency ablation adenoidectomy versus 56.7% with conservative therapy
Low-temperature plasma adenoidectomy versus conservative treatment for children with adenoid hypertrophy and allergic rhinitis: A non-randomized observational study.
To investigate the effect of low-temperature radiofrequency ablation (low-temperature radiofrequency ablation) adenoidectomy on the improvement of allergic rhinitis (allergic rhinitis) in children with adenoid hypertrophy (adenoid hypertrophy) complicated by allergic rhinitis, in comparison with conservative pharmacological management.
MethodsA total of 89 pediatric patients with adenoid hypertrophy complicated by allergic rhinitis were enrolled in this non-randomized observational study.
surgery helped far more children than nonsurgical treatment did
Baseline VAS scores were comparable between groups (surgical: 7.85±1.46; conservative: 7.63±1.52; P=0.512).
At 6 months, the mean VAS change score was 4.95±1.90 in the surgical group and 2.51±1.44 in the conservative group, a difference that was statistically significant (P<0.001).
In children with adenoid hypertrophy complicated by allergic rhinitis, low-temperature radiofrequency ablation adenoidectomy was associated with significantly greater improvement in nasal symptom scores at 6 months compared with conservative treatment.
These findings suggest that low-temperature radiofrequency ablation adenoidectomy may be a beneficial treatment option; however, given the non-randomized design and limited follow-up duration, further randomized controlled trials with objective outcome measures are needed to confirm these preliminary observations.