Comparison between Endoscopic and Curettage Adenoidectomy | ||
| Egyptian Journal of Ear, Nose, Throat and Allied Sciences | ||
| Article 34, Volume 22, Issue 22, January 2021, Pages 1-5 PDF (926.97 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejentas.2021.66692.1328 | ||
| Author | ||
| Saad abdulraheem hussein* | ||
| hilla teaching hospital | ||
| Abstract | ||
| Introduction: Adenoidectomy is a procedure to remove the adenoid tissue in the post nasal space, commonly done using curettage (conventional method) which is blind surgery. Aim: To show the differences between curettage and endoscopic adenoidectomy regarding long term results, safety, and accuracy. Patients and Methods: From October 2017 to October 2019 eighty (80) patients (32 males and 48 females) underwent adenoidectomy. They were divided into two groups, each group of forty patients. Group A underwent adenoidectomy by conventional curettage while group B underwent endoscopic adenoidectomy trans nasally assisted by debrider. The parameters studied are, Intra operative time, complete excision, trauma during surgery, vello- pharyngeal insufficiency, adenoid remnant and lastly symptoms relief. Results: Surgery time in group A is from 10-35 minutes(mean time is 23 minutes)while in group B is from 21-91 minutes (mean time is 42 minutes). Adenoidectomy is nearly complete in group B while 8 patients in group A had remnant adenoid tissue (20%). Group A has associated trauma in 6 patients (15%). (including minor trauma to uvula or posterior pharyngeal wall) while in group B 10 cases (25%) have septal mucosal injury for which 4 patients need anterior nasal packing. Vello pharyngeal insufficiency occurred in 4 cases in group A while 6 patients affected in group B. All are mild and resolved within days. Infection occurred in 2 patients in both groups. Retained swab had occurred in 2 patients in group A while nil in group B. Conclusion: Adenoidectomy by assisted endoscopy is accurate and safe because it fulfills complete excision of adenoid under direct visualization | ||
| Keywords | ||
| Adenoidectomy; assisted endoscopy; curettage; nasopharynx | ||
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