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Published on: December 6, 2016
Objective assessment of endoscopy assisted adenoidectomy
Ismail Elnashar1, Mohammad Waheed El-Anwar1, Waleed Mohamed Basha1
1Otorhinolaryngology-Head and Neck Surgery Department, Faculty of Medicine, Zagazig University, Egypt.
Conventional adenoidectomy often misses significant tissue volume. Endoscopy-assisted adenoidectomy improves removal, especially in older children and when initial results are unsatisfactory.
Area of Science:
- Otolaryngology
- Surgical Innovation
- Pediatric Surgery
Background:
- Adenoidectomy is a common procedure for airway obstruction.
- Conventional curettage may leave residual adenoid tissue.
- Objective assessment of adenoidectomy effectiveness is needed.
Purpose of the Study:
- To evaluate endoscopy-assisted adenoidectomy using adenoid tissue volume measurement.
- To identify patient parameters indicating suitability for this procedure.
Main Methods:
- Adenoidectomy was performed using curettes on 43 patients.
- Adenoid tissue volume was measured before and after curettage.
- Residual tissue was removed with endoscope guidance, and its volume measured.
Main Results:
- Curettage removed a mean of 2.45 ml of adenoid tissue.
- A mean of 0.67 ml residual adenoid tissue was removed via endoscopy.
- Residual tissue volume correlated with older age, larger initial adenoid size, and surgeon dissatisfaction.
Conclusions:
- Conventional adenoidectomy leaves a substantial amount of adenoid tissue.
- Endoscopy-assisted adenoidectomy is recommended for children over 10, cases of surgeon dissatisfaction, and Grade 3 adenoid enlargement.
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