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KMID : 0361020000430040421
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Korean Journal of Otolaryngology - Head and Neck Surgery
2000 Volume.43 No. 4 p.421 ~ p.425
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Microscopic Adenoidectomy Using the Electric Adenotome
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Choi Jong-Ouck
Baek Seung-Kuk
Kim Tae-Hun
Cho Sung-Dong
Jun Byung-Sun
Jung Kwang-Yoon
Choi Geon
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Abstract
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Background and Objectives : The conventional adenoidectomy is performed via the transoral approach and
can be accomplished with adenoid curette, adenotome, and adenoid punch. This method has been
associated with many complications. We performed an adenoidectomy using an electric adenotome under
the operating microscope. The aim of this study was to compare the electric adenotome adenoidectomy
with the conventional adenoidectomy and to evaluate the effectiveness and outcome of the electric
adenotome surgery.
Materials and Method : One hundred cases of microscopic adenoidectomy using the electric adenotome and
one hundred cases of conventional methods using curette or punch forceps were examined.
Results : There was less incidence of intraoperative and postoperative bleeding in the electric adenotome
adenoidectomy group. There were no differences regarding the postoperative outcome and recurrence rate
between the electric adenotome method group and the conventional method group.
Conclusion : Compared to the conventional method, the electric adenotome method has similar
postoperative result but has a lower incidence of intraoperative and postoperative bleeding. We suggest
that adenoidectomy using an electric adenotome is an attractive surgical method in children with
symptomatic adenoid vegetation.
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KEYWORD
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Electric adenotome, Microscopic adenoidectomy, adenoid vegetation
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