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Year :2018
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Month :
April
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Volume :
7
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Issue :
2
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Page :
SO05 - SO09
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Transnasal Endoscopic-assisted Conventional Adenoidectomy: A Study of 45 Cases
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Correspondence Address :
Lakshmi Ananth, Pradeep Hosamani,
Dr. Pradeep Hosamani,
G-403, Vaishnavi Rathnam Apts S.M. Road,
Jalahalli Cross, Bengaluru-560057, Karnataka, India.
E-mail: pradeephosamani@yahoo.com
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Introduction: Introduction: Adenoidectomy is one of the most common surgery performed in children. Conventional curettage adenoidectomy has the advantage of being low cost and continues to be a commonly used method especially in developing countries. In this paper, we study conventional curettage adenoidectomy performed under endoscopic guidance with additional endoscopic removal of remnant tissue.
Aim: To study the efficacy of transnasal total endoscopic-guided adenoidectomy using conventional instruments.
Materials and Methods: This prospective study was conducted in the Department of Otorhinolaryngology at BGS Global Hospital, Bengaluru, India over a period of three years from January 2012 to December 2014. Total 45 children in the age range of 4 to 15 years with adenoid hypertrophy who underwent endoscopic-guided adenoidectomy during the study period were included in the study. Preoperative assessment was done by clinical scoring and nasal endoscopic grading. About 76% cases had Grade IV adenoids and 24% Grade III.
Conventional curettage of adenoids was done under transnasal endoscopic visualisation with additional endoscopic removal of remnant tissue. Near total or total removal was achieved in all cases.
Results: Symptom scoring and nasal endoscopy done 6 months postoperatively show no adenoid remnant in 13.3% cases, Grade I in 80%, and Grade II in 6.66%. 16±1.5 minutes was the mean time taken for the surgery.
Conclusion: The addition of endoscopic visualisation appears to greatly improve the outcomes of conventional curettage adenoidectomy without major complications.
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