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Updated: Jun 20, 2026

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
[Complication and prevention of transnasal endoscopic adenoidectomy in children]
Shuai Zhang1, Yong Liu, Yaoyun Tan
1Department of Otolaryngology, Xiangya Hospital, Central South University, Changsha 410008, China. zhang-shuaixn@163.com
Insights
Transnasal endoscopic adenoidectomy effectively treats children
Area of Science:
- Otolaryngology
- Pediatric Surgery
Context:
- Adenoid hypertrophy significantly impacts children's respiratory health.
- Transnasal endoscopic adenoidectomy offers a minimally invasive surgical approach.
Purpose:
- To review the complications and prevention strategies for transnasal endoscopic adenoidectomy in pediatric patients.
- To analyze the outcomes and adverse events in a cohort of 215 children.
Summary:
- Transnasal endoscopic adenoidectomy resulted in symptom relief for pediatric patients.
- Complications observed included epistaxis (nosebleeds), nasal synechia (adhesions), and adenoidal regrowth.
- The procedure offers a clear surgical field, facilitating convenience and reducing operative time.
Impact:
- Highlights the safety and efficacy of endoscopic adenoidectomy in children.
- Provides insights into managing potential postoperative complications.
- Informs surgical decision-making and technique refinement for pediatric adenoidectomy.
Objective:
To discuss the complication and the prevention of transnasal endoscopic adenoidectomy in children.
Methods:
A total of 215 children patients with adenoid hypertrophy were treated with transnasal endoscopic adenoidectomy and were followed up for 1-6 months postoperatively. We summarized the complication and their management.
Results:
The children had a disappearance or relief of their clinical symptoms and manifestations after endoscopic adenoidectomy. Involved complication included 10 nose bleedings, 30 nasal synechia, 1 adenoidal regrowth.
Conclusion:
Endoscopic adenoidectomy is performed under direct and clear view that allows surgeons to operate conveniently and shorten surgical time. Surgeons still have to be alert to these complications and try to avoid them.
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