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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
[Effectiveness of tonsillectomy, evaluated by acoustic rhinometry]
A M Urpegui García1, J Martínez Subías, A García Guzmán
1Servicio de ORL, Hospital Clínico Universitario Lozano Blesa, Zaragoza, España.
Insights
Adenoid hypertrophy is a common cause of pediatric nasal obstruction. Adenoidectomy significantly improves nasal cavity areas and volumes, as confirmed by acoustic rhinometry.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Respiratory Physiology
Background:
- Adenoid hypertrophy is the most frequent cause of nasal obstruction in children.
- This condition can lead to altered respiratory function, facial development, and middle ear issues.
Purpose of the Study:
- To evaluate the surgical outcomes of adenoidectomy in children with adenoid hypertrophy.
- To assess the utility of acoustic rhinometry in quantifying nasal cavity changes post-surgery.
Main Methods:
- Acoustic rhinometry was employed to measure nasal cavity cross-sectional areas and volumes.
- Measurements were taken in 45 pediatric patients before and after adenoidectomy.
- The nasal cavity was divided into anterior (0-32 mm) and posterior (32-64 mm) zones for analysis.
Main Results:
- Surgery resulted in significant increases in both nasal cavity areas and volumes.
- Acoustic rhinometry demonstrated its effectiveness in quantifying these morphometric improvements.
- Clinical data correlated with rhinometric findings.
Conclusions:
- Adenoidectomy is an effective treatment for nasal obstruction caused by adenoid hypertrophy in children.
- Acoustic rhinometry is a valuable tool for objectively assessing the results of adenoidectomy.
Abstract:
Hypertrophy adenoid commonest cause of nasal obstruction in paediatrics. The morbility can be try alteration in the respiratory physiology, as well as in the face development and function of the middle ear. We used the acoustic rhinometry to evaluate the surgical results of the adenoidectomy in children with hypertrophy adenoid, compiling the data on their clinic, and correlating them as well with the rhinometric results. The acoustic rhinometry is a relatively new method of exploration of the nasal cavity. We obtain space measures that are going to allow to us to prove it. These measures are the cross-sectional areas and volumes registered in the nasal cavity when this cavity is divided longitudinally in two zones, the previous one until 32 mm measured from the narina, and the later one to 64 mm from the same point. For this study we have taken 45 patients with hypertrophied adenoids. We have made measurements pre and post surgery. Our results show a clear gain in areas as in volumes after surgery and also show the utility of the acoustic rhinometry like method of exploration at the time of quantifying the morphometric alterations of the nasal cavity.
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