Transoral endoscopic adenoidectomy

Area of Science:

• Otolaryngology
• Pediatric Surgery
• Endoscopic Surgery

Background:

• Traditional adenoid curettage carries a high recurrence risk without experienced surgeons.
• Obstructive nasal symptoms in children often stem from adenoid hypertrophy.

Purpose of the Study:

• To evaluate the efficacy of transoral endoscopic adenoidectomy for relieving obstructive nasal symptoms.
• To assess the safety and recurrence rates of this minimally invasive procedure.

Main Methods:

• 300 children underwent transoral endoscopic adenoidectomy using specialized instruments and a 4-mm nasal endoscope.
• Follow-up included a one-year telephone questionnaire and flexible nasopharyngoscopy for recurrent symptoms.

Main Results:

• No postoperative complications were reported in any of the 300 cases.
• Only one case (0.33%) experienced symptom recurrence due to adenoid regrowth, potentially linked to nasal allergy.

Conclusions:

• Transoral endoscopic adenoidectomy is an advancement over classic curettage, providing direct visualization for safe and complete adenoid tissue removal.
• The procedure minimizes the risk of injury to important structures like Eustachian tube orifices.