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Related Experiment Video

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Isolation of Human Islets from Partially Pancreatectomized Patients
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Partial Adenoidectomy in Patients With Palatal Abnormalities.

Ingrid Salna1, Joshua Jervis-Bardy2, David Wabnitz3

  • 1Department of Otolaryngology Head and Neck Surgery, The Queen Elizabeth Hospital, Adelaide, Australia.

The Journal of Craniofacial Surgery
|July 14, 2019
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Summary

Partial adenoidectomy is a safe and effective procedure for improving airway obstruction and snoring in patients with palatal abnormalities, with a low risk of velopharyngeal insufficiency.

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Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Craniofacial Surgery

Background:

  • Velopharyngeal insufficiency (VPI) is a significant concern following adenoidectomy in patients with palatal abnormalities.
  • Partial adenoidectomy techniques aim to balance airway improvement with preservation of velopharyngeal function.
  • Understanding the benefits of adenoidectomy in this specific population is crucial.

Purpose of the Study:

  • To systematically review the safety and efficacy of partial adenoidectomy in patients with palatal abnormalities.
  • To assess the risk of velopharyngeal insufficiency after partial adenoidectomy in this cohort.
  • To evaluate the impact on nasal airway obstruction and snoring.

Main Methods:

  • Systematic review of online databases.
  • Inclusion of studies on partial, subtotal, or powered adenoidectomy in patients with cleft palate, submucous cleft palate, or other palatal abnormalities.
  • Eligibility assessment by two independent reviewers.

Main Results:

  • Eight studies (1 prospective, 7 retrospective) involving 172 patients were included.
  • Nearly all patients experienced improvement in nasal airway obstruction and snoring.
  • The pooled risk of velopharyngeal insufficiency was approximately 1.6% (2/122 patients), with minimal complications.

Conclusions:

  • Partial adenoidectomy is a safe and effective procedure for patients with submucous cleft palate or repaired cleft palate.
  • The technique demonstrates significant benefits for airway obstruction and snoring.
  • Further prospective studies with standardized techniques are needed to confirm outcomes.