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

Objective: This study was performed to evaluate efficacy of the conventional adenoidectomy (CA) and necessity of the endoscopic complementary adenoidectomy (ECA). Material and Methods: Eighty-one children were prospectively evaluated under general anesthesia, with 2.7 or 4.0 mm 0 degree rigid endosc...

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Published in:Turkiye Klinikleri Journal of Medical Sciences Vol. 31; no. 4; pp. 853 - 859
Main Authors: Kayhan, Fatma T, Kaya, Kamil H, Sayin, Ibrahim
Format: pictorial research tables/charts Journal Article
Published: Turkiye Klinikleri Aug2011
Online Access:View this record in EBSCOhost
Summary:Objective: This study was performed to evaluate efficacy of the conventional adenoidectomy (CA) and necessity of the endoscopic complementary adenoidectomy (ECA). Material and Methods: Eighty-one children were prospectively evaluated under general anesthesia, with 2.7 or 4.0 mm 0 degree rigid endoscopes prior to adenoidectomy. The endoscopic findings were recorded. After CA, nasopharynx was examined with mirror and rigid endoscope for any residual adenoid tissue (RAT) and its localization. RAT was removed under endoscopic visualization with forceps. Blood loss and operative time for CA and ECA were recorded. Results: RAT was seen in 60.5% of the patients with mirror and 85.2% with endoscope after CA. The difference was statistically significant between methods (p<0.01). The mean blood loss for CA was 27.06 ± 11.41 ml and for 39.78 ± 15.69 ml ECA The mean time required to complete the adenoidectomy was 10.47 ± 4.31 minutes while for ECA it was 18.84 ± 7.61 minutes. No postoperative complications were seen in this study. Conclusion: CA was effective in 14.8% of patients. This findings show the need for an endoscopic complementary adenoidectomy. This technique did not increase the medical costs and provided a direct view to remove RAT. Under direct visualization, bleeding may be stopped effectively and unnecessary trauma may be avoided without any complication.