Endoscopic‐assisted Adenoidectomy

Cannon, C. Ron; Replogle, William H.; Schenk, Michael P.

doi:10.1053/hn.1999.v121.a98201

Cited by 66 publications

(65 citation statements)

References 9 publications

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“…Though conventional adenoidectomy is a quick and a simple procedure but it is a crude and a blind procedure too. Besides known complications such as injury to eustachian tube orifice and pharyngeal musculature, Canon et al [1,9] and Havas et al [10] have drawn attention to the high percentage of residual tissue remaining after this procedure. This residual tissue can lead to a combination of potential problems, including peritubaric obstruction, bacterial reservoirs and hyperplasia of the remnants with the persistence of obstructive symptoms; all these aspects highlight the importance of addressing a complete removal of the adenoid tissue.…”

Section: Discussionmentioning

confidence: 99%

Changing Trends in Adenoidectomy

Anand

Sarin

Singh

2013

Indian J Otolaryngol Head Neck Surg

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Adenoid hypertrophy treatment is must to alleviate chronic nasal obstruction, mouth breathing, rhinosinusitis and eustachian tube dysfunction. For proper management of this clinical entity a thorough clinical examination along with radiological and endoscopic evaluation is mandatory. Although, few children having adenoid hypertrophy respond to medical treatment, surgery remains the mainstay. An adenoidectomy can be performed by variety of techniques. Conventional adenoidectomy is by the curettage method, still practiced in many institutions, though, a recent technique of endoscopic assisted adenoidectomy by microdebrider is also getting popularized. Both the techniques have their own merits and demerits. However, which of the two surgical techniques is better, is still a matter of preference and experience of the surgeon with the technique. In the present study we will compare the conventional curettage adenoidectomy with endoscopically assisted adenoidectomy done with microdebrider in 40 pediatric patients of adenoid hypertrophy.

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Section: Discussionmentioning

confidence: 99%

Changing Trends in Adenoidectomy

Anand

Sarin

Singh

2013

Indian J Otolaryngol Head Neck Surg

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“…In this study, RAT was se en in 94.9% of the pa tients. 4 Bross-So ri a no et al fo und RAT in 107 (43%) out of the 250 pa ti ents af ter CA. 3 Pa gel la et al stated that af ter con ven ti o nal ade no i dec tomy, a signi fi cant mass of re si du al ade no id tis su e was ob ser ved in ap pro xi ma tely 50% of the ca ses.…”

Section: Discussionmentioning

confidence: 99%

“…4 They sho wed that af ter con ven ti o nal ade no i dec tomy. RAT was se en in 94.9% of the pa ti ents.…”

Section: Rat: Residual Adenoid Tissuementioning

confidence: 99%

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The Efficacy of the Conventional Adenoidectomy and Necessity of the Endoscopic Complementary Adenoidectomy

Kayhan¹,

Kaya²,

Sayın³

2011

Turkiye Klinikleri J Med Sci

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A AB BS S T TR RA AC CT T O Ob b j je ec c t ti i v ve e: : This study was per for med to eva lu a te ef fi cacy of the con ven ti o nal ade no idec tomy (CA) and ne ces sity of the en dos co pic comp le men tary ade no i dec tomy (ECA). M Ma a t te e r ri i a al l a an nd d M Me et t h ho od ds s: : Eighty-one chil dren we re pros pec ti vely eva lu a ted un der ge ne ral anest he si a, with 2.7 or 4.0 mm 0 deg re e ri gid en dos co pes pri or to ade no i dec tomy. The en dos co pic fin dings we re re corded. Af ter CA, na sop harynx was exa mi ned with mir ror and ri gid en dos co pe for any re si du al adeno id tis su e (RAT) and its lo ca li za ti on. RAT was re mo ved un der en dos co pic vi su a li za ti on with for ceps. Blo od loss and ope ra ti ve ti me for CA and ECA we re re cor ded. R Re e s su ul lt ts s: : RAT was se en in 60.5% of the pa ti ents with mir ror and 85.2% with en dos co pe af ter CA. The dif fe ren ce was sta tis tically sig ni fi cant bet we en met hods (p<0.01). The me an blo od loss for CA was 27.06 ± 11.41 ml and for 39.78 ± 15.69 ml ECA The me an ti me re qu i red to comp le te the ade no i dec tomy was 10.47 ± 4.31 mi nu tes while for ECA it was 18.84 ± 7.61 mi nu tes. No pos to pe ra ti ve comp li ca ti ons we re se en in this study. C Co on nc c l lu u s si i o on n: : CA was ef fec ti ve in 14.8% of pa ti ents. This fin dings show the need for an en dos co pic comp le men tary ade no i dec tomy. This tech ni qu e did not in cre a se the me di cal costs and pro vi ded a di rect vi ew to re mo ve RAT. Un der di rect vi su a li za ti on, ble e ding may be stop ped ef fecti vely and un ne ces sary tra u ma may be avoided wit ho ut any comp li ca ti on.K Ke ey y W Wo or rd ds s: : En dos copy; ade no i dec tomy Ö ÖZ ZE ET T A Am ma aç ç: : Bu ça lış ma da kon van si yo nel ade no i dek to mi nin et kin li ği ni ve en dos ko pik tamamlayıcı ade no i dek to minin ge rek li li ği ni de ğer len dir mek amaç lan mış tır. G Ge e r re eç ç v ve e Y Yö ön n t te em m l le er r: : Sek sen bir ço -cuk ol gu pros pek tif bir dü zen de ge nel anes te zi al tın da ade no i dek to mi ön ce sin de 2.7 ve ya 4.0 mm 0 de re ce ri jid en dos kop la de ğer len di ril di. En dos ko pik bul gu lar kay de dil di. Kon van si yo nel ade no idek to mi son ra sın da na zo fa renks re zi dü ade no id do ku var lı ğı ve lo ka li zas yo nu için ay na ve ri jid endos kop la in ce len di. Re zi dü ade no id do ku en dos ko pik gö rün tü al tın da for seps le te miz len di. Kon van si yo nel ade no i dek to mi ve en dos ko pik komp le men ter ade no i dek to mi sı ra sın da ki kan kay bı ve iş lem sü re si kay de dil di. B Bu ul l g gu u l la ar r: : Re zi dü ade no id do ku var lı ğı ay na ve en dos ko pik in ce le me durum la rı ara sın da kar şı laş tı rıl dı. Kon van si yo nel ade no i dek to mi son ra sın da ay na gru bun da ki has tala rın %60.5'in de, en dos ko pi ile in ce le nen le rin %85.2'sin de re zi dü ade no id do ku göz len di. Her iki me tod ara sın da ki fark is ta tis tik sel ola rak an lam lı...

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“…Canon et al popularized endoscopic assisted adenoidectomy (EAA) calling it "a natural progression of endoscopic technology to allow a more complete adenoidectomy". 1 They followed a conventional transoral adenoidectomy with endoscopic removal of residual adenoids. Microdebriders are powered instruments which provide an excellent, safe and thorough technique in endoscopic nasal surgery.…”

Section: Various Methods Of Performing Adenoidectomy Includementioning

confidence: 99%

A comparative study of adenoidectomy by microdebrider vs conventional method

M¹,

Saifulla²

2018

Int J Otorhinolaryngol Head Neck Surg

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Background: Adenoidectomy is a commonly performed ENT surgery. This present article aims to evaluate endoscopic powered adenoidectomy as an alternative for conventional curettage method.Methods: Sixty consecutive cases requiring adenoidectomy were randomized into two groups of thirty each. Group A underwent endoscopic assisted micro-debrider adenoidectomy and Group B underwent conventional adenoidectomy using the curettage method in study period from November 2015 to May 2017. Results: The average time taken in Group A was 34.10 minutes and in Group B was 22.83 minutes (p<0.001). The average blood loss in Group A was 29.57 ml as compared to 16.67 ml in Group B (p<0.001). The resection was invariably complete in Group A whereas five (16.7%) cases had more than 50% residual adenoid tissue in Group B. Four cases in group B had collateral damage whereas in Group A, there were no added injuries. Post operative pain was studied only in cases undergoing adenoidectomy alone. Group A (n=8) demonstrated a pain score of 3.50 – 3.09 whereas Group B (n=11) demonstrated a pain score of 2.75-2.55. In group A, the mean recovery period was 2.80 days and 8.23 days in Group B (p<0.001).Conclusions: Endoscopic powered adenoidectomy was found to be a safe and effective tool for adenoidectomy. The study parameters where endoscopic powered adenoidectomy fared better were completeness of resection, accurate resection under vision, lesser collateral damage and faster recovery time. On the other hand, conventional adenoidectomy scored in matter of lesser operative time and intra-operative bleeding.

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Endoscopic‐assisted Adenoidectomy

Cited by 66 publications

References 9 publications

Changing Trends in Adenoidectomy

Changing Trends in Adenoidectomy

The Efficacy of the Conventional Adenoidectomy and Necessity of the Endoscopic Complementary Adenoidectomy

A comparative study of adenoidectomy by microdebrider vs conventional method

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