Transoral Endoscopic-Assisted Adenoidectomy: A Prospective Study.

Area of Science:

• Otolaryngology
• Pediatric Surgery
• Endoscopic Surgery

Background:

• Adenoidectomy is a common pediatric procedure.
• Traditional blind curettage has drawbacks, including incomplete removal and potential damage to the Eustachian tube.
• A safer and more effective technique is needed.

Purpose of the Study:

• To demonstrate a transoral endoscopic adenoidectomy technique using a 70° endoscope.
• To evaluate the safety and efficacy of this endoscopic approach.

Main Methods:

• A prospective study included 96 pediatric patients with adenoid hypertrophy.
• All patients underwent transoral endoscopic adenoidectomy with a 70° scope.
• Follow-up included fiberoptic scope examination 1 year post-surgery.

Main Results:

• Only 4.16% of patients experienced minor adenoid regrowth near the Eustachian tube orifices, without symptoms.
• The endoscopic technique allowed for complete adenoid tissue removal.
• No damage to adjacent structures was reported.

Conclusions:

• Transoral endoscopic adenoidectomy is a safe and technically viable alternative to blind curettage.
• This method reduces the likelihood of incomplete removal and minimizes risks of iatrogenic injury.
• Endoscopic adenoidectomy provides superior outcomes in pediatric patients.