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KMID : 0361020000430121346
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Korean Journal of Otolaryngology - Head and Neck Surgery
2000 Volume.43 No. 12 p.1346 ~ p.1349
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Transoral Endoscopic Adenoidectomy with the Microdebrider
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Rhyoo Chan
Kim Sung-Shik
Jeon Jin-Ha
Lim han-Seung
Kim Moon-Sook
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Abstract
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Background and Objectives: Surgeons have tried various methods of adenoidectomy from the conventional transoral adenoidectomy using curettes or adenotomes to the newly developed transnasal endoscopic adenoidectomy using microdebriders. However, surgeons still face a great difficulty in achieving complete adenoidectomy due to the unfavorable anatomic structure and a narrow operating field. This study aims to introduce and try to establish a better way of performing transoral endoscopic adenoidectomy using microdebriders.
Materials and Methods: Thirty patients who underwent transoral endoscopic adenoidectomy using microdebriders were prospectively randomized. Skull lateral radiographs and endoscopic photographs were obtained to analyze the surgical outcome of transoral endoscopic adenoidectomy using a microdebrider.
Results: There were no specific postoperative complications such as hemorrhage or infection. Nasal obstruction disappeared within 7 postoperative days, and mouth breathing and snoring were simultaneously improved.
Conclusion: Transoral endoscopic adenoidectomy using a microdebrider can be considered as one of the most effective methods for more complete adenoidectomy to relieve nasal obstruction and to reduce mouth breathing and snoring.
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KEYWORD
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Transoral, Endoscopic adenoidectomy, Microdebrider
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