Adenoidectomy is one of the most common procedures
performed in children today, either alone or in conjunction with
tonsillectomy or insertion of ventilating tubes. The main disadvantage of
curettage is that it is a relatively 'blind" technique that may lacerate the
choanae and torus tubarius, gauge the nasopharyngeal mucosa, or
skim the adenoid bulk, leaving behind obstructing tissue, particularly
at the Eustachian tube orifices, high in the nasopharynx, and at infranasal
protrusions.
The powered-shaver method with microdebrider has been applied in
a number of ways. It may be the primary technique, used as an adjunct
to curettage, or coupled with other methods.
Objectives: The aim of this work was to compare the advantage and
disadvantage among transoral videoendoscopic adenoidectomy with microdebrider
and traditional Transoral Curette Adenoidectomy.
Patients and Methods: Two-hundred patients of both sexes were
included in this study all had adenoid (with or without tonsils) hypertrophy.
All patients were distributed in two groups. Group (A) ninety
(90) patients were underwent transoral video endoscopic adenoidectomy
with microdebrider. Group (B) One hundred and ten (110) patients were
underwent traditional Transoral Curette Adenoidectomy.
Direct comparisons between the Iwo groups were being made with
regards to operative time, amount of blood loss , presence of possible residual
lymphoid tissue, absence of bleeding. |
