Transnasal Endoscopic-assisted Conventional Adenoidectomy: A Study of 45 Cases
Journal Title: International Journal of Anatomy Radiology and Surgery - Year 2018, Vol 7, Issue 2
Abstract
Introduction: Adenoidectomy is one of the most common surgery performed in children. Conventional curettage adenoidectomy has the advantage of being low cost and continues to be a commonly used method especially in developing countries. In this paper, we study conventional curettage adenoidectomy performed under endoscopic guidance with additional endoscopic removal of remnant tissue. Aim: To study the efficacy of transnasal total endoscopic-guided adenoidectomy using conventional instruments. Materials and Methods: This prospective study was conducted in the Department of Otorhinolaryngology at BGS Global Hospital, Bengaluru, India over a period of three years from January 2012 to December 2014. Total 45 children in the age range of 4 to 15 years with adenoid hypertrophy who underwent endoscopic-guided adenoidectomy during the study period were included in the study. Preoperative assessment was done by clinical scoring and nasal endoscopic grading. About 76% cases had Grade IV adenoids and 24% Grade III. Conventional curettage of adenoids was done under transnasal endoscopic visualisation with additional endoscopic removal of remnant tissue. Near total or total removal was achieved in all cases. Results: Symptom scoring and nasal endoscopy done 6 months postoperatively show no adenoid remnant in 13.3% cases, Grade I in 80%, and Grade II in 6.66%. 16±1.5 minutes was the mean time taken for the surgery. Conclusion: The addition of endoscopic visualisation appears to greatly improve the outcomes of conventional curettage adenoidectomy without major complications.
Authors and Affiliations
Lakshmi Ananth, Pradeep Hosamani
Keywords
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- EP ID EP529670
- DOI 10.7860/IJARS/2018/34433:2394
- Views 130
- Downloads 0
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