|
KMID : 0390220020130010105
|
|
Journal of Clinical Otolaryngology, Head and Neck Surgery
2002 Volume.13 No. 1 p.105 ~ p.110
|
|
|
A Comparative Study between Endoscopic Adenoidectomy and Conventional Adenoidectomy in Children
|
|
Yang Sun-Mo
Kim Hyun-Ung
Cho Jin-Hack
Kim Jung-Hyun
Min Byeong-Eok
Chu Hyung-Ro
Park Chan-Hum
|
|
|
Abstract
|
|
|
|
Background and Objectives： Adenoidectomy with or without other surgical procedures such as tonsillectomy or tympanostomy tube insertion is a commonly performed treatment for adenoid hypertrophy. Recently, adenoid has been removed under endoscopy which was widely used in otolaryngological field. The aim of this study is to compare conventional transoral adenoidectomy with transnasal endoscopic adenoidectomy and to evaluate the effectiveness and surgical outcomes of transnasal endoscopic adenoidectomy. Materials and Methods： Twenty patients of conventional adenoidectmy using adenoid curette and twenty patients of endoscopic adenoidectomy were compared. We compared the volume of intraoperative bleeding, the operation time, skull lateral radiographs and endoscopic photographs between to groups. Results： Endoscopic adenoidectomy group shows more intraoperative bleeding and intraoperative time than conventional adenoidectomy group. But, adenoic tissue could be removed more completely in endoscopic adenoidectomy group. Even though there were no statistical difference, the endoscopic adenoidectomy group showed slightly the more change of adenoid-nasopharynx ratio and endoscopic grade than conventional adenoidectomy group. Also there were no differences statistically with regard to complication rate. Conclusion：As compared to the conventional adenoidectomy, the endoscopic adenoidectomy has similar postoperative results but it can remove more adenoid tissue under direct visualization without damage to other structures. This technique may be particularly useful for revision cases or superiorly positioned adenoids projecting into the choana and around eustachian tube.
|
|
|
KEYWORD
|
|
|
Endoscopy, Adenoidectomy
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|