Publication: Is Transnasal Endoscopic Examination Necessary Before and After Adenoidectomy?
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Authors
Yildirim, YAVUZ SELİM
Apuhan, Tayfun
AKSOY, Fadlullah
VEYSELLER, Bayram
ÖZTURAN, ORHAN
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Abstract
The present study aimed to investigate the
amount of residual adenoid tissue following the conventional adenoidectomy as compared with preoperative values. A total of 32 girls and 44 boys (range, 3–15 years) in
whom adenoidectomy procedure was planned were included in the study. Adenoid tissue sizes before adenoidectomy and residual tissue sizes after conventional curettage
adenoidectomy were measured by transnasal endoscopic
examination and were recorded. Adenoid tissue size before
and after adenoidectomy was compared. The mean age of
the patients was 7.7 years (range, 3–15 years). Before
adenoidectomy grade 4 adenoid tissue was noted in 43.4%
(n = 33), grade 3 was noted in 28.9% (n = 22), grade 2
was noted in 25% (n = 19), and grade 1 was noted in 2.6%
(n = 2) of the patients. Following adenoidectomy, no
significant difference was noted with respect to residual
adenoid tissue sizes of grade 4 and grade 3 patients
(P = 0.75, P = 0.76). Transnasal endoscopic examination
is suggested to be the most appropriate method to assess
the amount of residual adenoid tissue after conventional
curettage adenoidectomy. The residual adenoid tissue with
the help of a microdebrider in case of a large residual
adenoid tissue located in the choana are necessary for
complete adenoidectomy
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Citation
Yildirim Y. S. , Apuhan T., AKSOY F., VEYSELLER B., ÖZTURAN O., -Is Transnasal Endoscopic Examination Necessary Before and After Adenoidectomy?-, Indian Journal of Otolaryngology and Head and Neck Surgery, cilt.66, ss.257-260, 2014