Articoli di riviste: "Adenoidectomy"

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Ken, Akanksha, e Smruti Milan Tripathy. "Microdebrider: a painless and effective technique for adenoidectomy; comparative study with curette assisted adenoidectomy". International Journal of Otorhinolaryngology and Head and Neck Surgery 7, n. 5 (23 aprile 2021): 727. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20211419.

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Background: Adenoid is a nasopharyngeal tissue which forms Waldeyer's ring as said by Meyer, 1968. Adenoids become demonstrable with signs of CSOM with adenoid hyperplasia, recurrent rhino-sinusitis, characteristic ‘adenoid facies’, nasal obstruction, mouth breathing, snoring, drooling of saliva and speech abnormalities and dental malocclusion. Adenoidectomyis the common surgery done using various techniques like curette, microdebrider and many more. In this study we evaluate and compare the efficacy of adenoidectomy by microdebrider verses curette assisted adenoidectomy. Aim of the study was to evaluate and compare the efficacy and benefits of adenoidectomy by microdebrider with curette assisted adenoidectomy.Methods: This is a prospective randomized single-blind study done for 1 year. Total 150 patients were included which were diagnosed as adenoid hypertrophy based on clinical and radiological examination and were equally divided in 2 group for both the procedures (curette and microdebrider).Results: Patients show good response to the treatment with microdebrider assisted adenoidectomy with less complication and early recovery.Conclusions: We observe that proper examination and early surgical intervention using modern technique i.e., microdebrider reduces the time, residual tissue with less complication and promote early recovery.

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Wong, Birgitta Yee-hang, e Chin Pang Chan. "Adenoidectomy". Operative Techniques in Otolaryngology-Head and Neck Surgery 32, n. 1 (marzo 2021): 15–19. http://dx.doi.org/10.1016/j.otot.2021.01.003.

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Bidaye, R., N. Vaid e K. Desarda. "Comparative analysis of conventional cold curettage versus endoscopic assisted coblation adenoidectomy". Journal of Laryngology & Otology 133, n. 4 (19 marzo 2019): 294–99. http://dx.doi.org/10.1017/s0022215119000227.

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AbstractObjectiveTo compare conventional cold curettage adenoidectomy with endoscopic assisted coblation adenoidectomy in terms of operative time, primary blood loss, post-operative residual tissue and post-operative pain.MethodsThis prospective non-randomised study was carried out on 60 patients aged 5–12 years. One group underwent conventional cold curettage adenoidectomy and the other underwent endoscopic assisted coblation adenoidectomy, with 30 patients per group.ResultsMean operation duration was significantly higher for endoscopic assisted coblation adenoidectomy. Mean blood loss was 44.33 ml in conventional cold curettage adenoidectomy and 32.47 ml in endoscopic assisted coblation adenoidectomy. The pain grade was significantly lower in endoscopic assisted coblation adenoidectomy. Forty per cent of patients who underwent conventional cold curettage adenoidectomy had adenoid tissue post-surgery, while it was completely absent in endoscopic assisted coblation adenoidectomy patients.ConclusionCoblation adenoidectomy has significant advantages over conventional adenoidectomy in terms of reduced blood loss, no post-operative residual tissue and lower pain grade on day 1 after surgery.

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R. T., Abdul Salam, Shahul Hameed A. e Meera Rajan. "A Comparative Study of Endoscopic Coblation Adenoidectomy and Regular Curettage Adenoidectomy in a Tertiary Care Hospital in Kerala". Journal of Evidence Based Medicine and Healthcare 8, n. 41 (30 ottobre 2021): 3559–66. http://dx.doi.org/10.18410/jebmh/2021/645.

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BACKGROUND An ideal surgery to remove hypertrophied adenoid mass should be safe, with less bleeding and operation time along with post-operative improvement in the eustachian tubal ventilation and normal respiration. It should also have low morbidity and mortality. Among the various methods described for its removal, the two commonly used methods are conventional cold curettage method and coblation technique. The purpose of this study was to collate the safety and efficacy of endoscopic coblation adenoidectomy with the conventional curettage adenoidectomy. METHODS A prospective comparative study with fifty patients was studied who underwent adenoidectomy. Twenty five patients underwent endoscopy assisted coblation adenoidectomy and twenty five patients underwent regular adenoidectomy by curettage. RESULTS Patients who underwent coblation adenoidectomy showed better results during follow up in terms of completeness of removal. 80 % of children undergoing regular adenoidectomy by curettage method showed remnant adenoid tissue in the nasopharynx at the end of the procedure. But it was 6 % among the children undergoing endoscopic assisted coblation adenoidectomy. The mean duration of operation was higher for endoscopic assisted coblation adenoidectomy which was significant statistically. The mean blood loss was 30.36 ml in regular curettage adenoidectomy; 10.6 ml with endoscopic coblation adenoidectomy. The grading of pain was significantly lower in endoscopic assisted coblation adenoidectomy. There was no significant difference between two groups in terms of eustachian tube function after surgery. CONCLUSIONS Coblation adenoidectomy has significant advantages over conventional adenoidectomy in terms of completeness of removal, reduced blood loss, and lower post-operative pain grade. KEYWORDS Coblation, Adenoidectomy, Curettage, Haemorrhage and Complications

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., Shaweta, Ramesh K. Azad, R. S. Minhas e Shobha Mohindroo. "Comparison of microdebrider assisted adenoidectomy and adenoid curette adenoidectomy". International Journal of Otorhinolaryngology and Head and Neck Surgery 4, n. 3 (26 aprile 2018): 819. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20181669.

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Background: Adenoidectomy is the surgical procedure to remove the adenoids. It is conventionally performed using the curettage method. The aim is to compare between adenoid curette adenoidectomy and microdebrider assisted adenoidectomy.Methods: From April 2016 to March 2017, 50 patients (34 males and 16 females), requiring adenoidectomy were randomized into two groups each of twenty five. Group A underwent microdebrider assisted adenoidectomy. Group B underwent conventional adenoidectomy using the curettage method. The parameters studied were intra-operative time, blood loss, residual tissue, associated trauma, and post-operative symptomatic relief and complications. Results: Microdebrider assisted adenoidectomy was significantly better in terms of residual tissue left behind as compared to adenoid curette adenoidectomy (p<0.001), similar operative blood loss and operative time with no difference in complications.Conclusions: Microdebrider-assisted adenoidectomy is a safe and effective alternative to curettage method as it allows complete removal of adenoid tissue under direct vision.

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Kumar, Abhay, Prabhu Narayan, Prem Narain, Jaypal Singh, Prateek Kumar Porwal e Sanjay Sharma. "A comparative study of endoscopic assisted curettage adenoidectomy with conventional adenoidectomy". International Journal of Otorhinolaryngology and Head and Neck Surgery 4, n. 4 (23 giugno 2018): 1053. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20182712.

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Background: In ENT adenoidectomy is a commonly performed surgery. It is conventionally done using the curettage method. This present study aims to evaluate endoscopic assisted curettage adenoidectomy as an alternative.Methods: The present study consisted of forty cases requiring adenoidectomy were divided into two groups of twenty each. In Group A adenoidectomy was done by conventional curettage method and in Group B by endoscopic assisted micro-debrider adenoidectomy. The parameters studied between two groups were intra-operative time, intra-operative bleeding and completeness of resection .The study period was from June 2015 to December 2016. Results: The average time taken in Group A (conventional surgery) was 5.30 minutes and in Group B (powered endoscopic surgery) was 12.30 minute. The average blood loss in Group A was 35 ml (range 10–50) as compared to 30 ml in Group B. Nearly 25 % of the patients who underwent endoscopic assisted adenoidectomy had grade II adenoids. About 30% of the patients who underwent conventional adenoidectomy had Grade III adenoids. A total of 10% of the patients developed primary haemorrhage which was more in conventional adenoidectomy (15%) as compared to endoscopic adenoidectomy (5%).Conclusions:Endoscopic assisted microdebrider adenoidectomy was found to be a safe and effective tool for adenoidectomy. Endoscopic adenoidectomy better for completeness of resection, accurate resection under vision. On the other hand, in conventional adenoidectomy operative time and intra-operative bleeding was less.

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Dhanasekar, G., A. Liapi e N. Turner. "Adenoidectomy techniques: UK survey". Journal of Laryngology & Otology 124, n. 2 (30 novembre 2009): 199–203. http://dx.doi.org/10.1017/s0022215109991502.

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AbstractObjectives:To determine (1) the preferred adenoidectomy technique among UK ENT consultants, and (2) the need for revision adenoidectomy following the standard technique of blind curettage with digital palpation.Method:Postal questionnaire.Participants:We included 539 consultant members of the ENT–UK.Main outcome measures:Commonly used adenoidectomy techniques, and whether revision adenoidectomy was considered a problem.Results:The response rate was 66.6 per cent (359 respondents). Twenty-seven respondents did not perform adenoidectomy, while 332 did. A total of 312/332 respondents (94 per cent) believed that adenoidectomy had a role in the treatment of chronic serous otitis media. The majority of respondents (232/332; 69.9 per cent) reported examining the postnasal space digitally at adenoidectomy. The preferred routine adenoidectomy technique was blind curettage for 263 respondents (79.2 per cent), suction diathermy ablation for 27 (8.1 per cent) and curettage under direct vision (using a mirror) for 13 (3.9 per cent). In response to the question ‘Do you recognise the need for revision adenoidectomy as a problem?’, 205 (61.7 per cent) respondents replied ‘never’, 39 (11.7 per cent) ‘rarely’, 54 (16.3 per cent) ‘< 2 per cent’ and 36 (10.8 per cent) ‘>2 per cent’.Conclusions:The most commonly used adenoidectomy technique in the UK is digital palpation followed by blind curettage, according to this postal questionnaire survey. Few respondents reported performing adenoidectomy under direct vision: only 10 per cent used a mirror during the procedure and only 8 per cent used an endoscope.

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Drake, Amelia F., e Newton D. Fischer. "Peritubal Adenoidectomy". Laryngoscope 103, n. 11 (novembre 1993): 1291???1292. http://dx.doi.org/10.1288/00005537-199311000-00013.

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Gates, George A., Harlan R. Muntz e Brendan Gaylis. "Adenoidectomy and Otitis Media". Annals of Otology, Rhinology & Laryngology 101, n. 1_suppl (gennaio 1992): 24–32. http://dx.doi.org/10.1177/00034894921010s106.

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Adenoid enlargement has traditionally been considered a factor in otitis media; adenoid size, however, does not appear to be correlated with otitis media occurrence. Presence of pathogenic bacteria in the adenoids of children with otitis media has been shown, and adenoidectomy appears to affect the middle ear primarily by removal of the source of infection in the nasopharynx. Three recent randomized, controlled studies showed the efficacy of adenoidectomy in the treatment of chronic secretory otitis media. In one study comparing no treatment, adenoidectomy, and adenotonsillectomy, a significant benefit was seen with adenoidectomy that was not enhanced by tonsillectomy. Another study that compared adenoidectomy, tympanostomy tubes, and a combination of the two showed a significant reduction in effusion time and less surgical retreatment over 2 years in the two adenoidectomy groups. The third study demonstrated the effect of adenoidectomy in children with recurrent chronic otitis media with effusion after failure of tympanostomy tube insertion. All three studies showed that the effect of adenoidectomy was independent of adenoid size. This review discusses current concepts of adenoid physiology and pathology, the major adenoidectomy studies, and indications for the procedure.

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Saravana Selvan, V., Muthamil Silambu e D. Vinodh Kumaran. "A comparative study between coblation adenoidectomy and conventional adenoidectomy". International Journal of Otorhinolaryngology and Head and Neck Surgery 4, n. 3 (26 aprile 2018): 721. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20181859.

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Background: The objective of the study was to compare the advantages and results between coblation adenoidectomy and conventional adenoidectomy by curettage.Methods: The study was conducted in Stanley medical college, Chennai (a tertiary care centre) from June 2013 to June 2016. Fifty patients were studied who underwent adenoidectomy. Twenty five patients underwent conventional adenoidectomy by curettage and rest by nasal endoscopy assisted coblation adenoidectomy. Following outcomes were evaluated: pain score on first day, days reporting pain, analgesic days, school absenteeism, endoscopic adenoid grading and intraoperative bleeding. Results: Patients who underwent coblation adenoidectomy showed better results during follow up with lesser complications.Conclusions: Coblation adenoidectomy is a better technique when compared to conventional technique of curettage.

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Dearking, Amy C., Brian D. Lahr, Admire Kuchena e Laura J. Orvidas. "Factors Associated with Revision Adenoidectomy". Otolaryngology–Head and Neck Surgery 146, n. 6 (2 febbraio 2012): 984–90. http://dx.doi.org/10.1177/0194599811435971.

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Objective. To determine whether patient factors (eg, indication for initial surgery, medical comorbidity, or age) are associated with adenoid regrowth and subsequent need for revision adenoidectomy and whether surgical factors (eg, surgical technique or level of surgeon’s training) are associated with adenoid regrowth and subsequent need for revision adenoidectomy. Study Design. Historical cohort study. Setting. Tertiary care academic medical center. Subjects and Methods. Children (≤18 years) who underwent adenoidectomy or adenotonsillectomy between 1980 and May 2009 were identified. Medical and surgical records were reviewed for sex, age at surgery, indication for surgery, training level of surgeon, surgical technique, and history of allergies, asthma, or gastroesophageal reflux disease. Results. Of 8245 surgical cases (53.8% male), 163 were revision adenoidectomies. Age at initial adenoidectomy was a significant factor for revision adenoidectomy, with younger ages associated with higher increased risk. Indication for adenoidectomy was also a significant risk factor; adjusted for age, patients with ear rather than infectious indications were about 10 times more likely to require revision. A diagnosis of gastroesophageal reflux disease was a significant risk factor (hazard ratio, 2.23; P = .002). Conclusion. Several risk factors are associated with revision adenoidectomy: young age at initial procedure, indication for adenoidectomy, and diagnosis of gastroesophageal reflux disease. Surgical technique, level of experience of the initial surgeon, and diagnosis of asthma or allergies were not significant risk factors for revision adenoidectomy.

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Stanislaw, Paul, Peter J. Koltai e Paul J. Feustel. "Comparison of Power-Assisted Adenoidectomy vs Adenoid Curette Adenoidectomy". Archives of Otolaryngology–Head & Neck Surgery 126, n. 7 (1 luglio 2000): 845. http://dx.doi.org/10.1001/archotol.126.7.845.

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Harugop, Anil S., Samanvaya Soni e Tejaswini J. S. "Efficacy and Safety of Microdebrider Assisted Adenoidectomy over Conventional Adenoidectomy". Bengal Journal of Otolaryngology and Head Neck Surgery 28, n. 1 (30 aprile 2020): 59–66. http://dx.doi.org/10.47210/bjohns.2020.v28i1.173.

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Introduction Adenoidectomy has conventionally been performed by curetting the adenoid tissue blindly with St. Clair Thompson curette leading to inadequate removal of tissue. Here the use of endoscopic guided adenoidectomy with microdebrider has been employed to compare the two methods. Materials and Methods It is a one-year randomized control trial conducted from January 2018 to December 2018. Patients were allocated into 2 groups i.e. conventional adenoidectomy and microdebrider adenoidectomy group. Pre and post-operative endoscopic grading of adenoid was compared and intraoperative blood loss and operative time were studied. Results Total 45 patients included 25 in conventional and 20 in microdebrider group. Following adenoidectomy operation the percentage of reduction of adenoid grading in microdebrider group was 63.79 % whereas 30.29% in conventional group, the average time taken by microdebrider assisted surgery was 16.45 mins as compared to 13.28 mins in conventional curettage. The average amount of blood loss in conventional group was 44.76 ml whereas in microdebrider group was 77.30 ml. Conclusion Microdebrider assisted adenoidectomy has proven to deliver completeness of clearance at the expense of slight increase in bleeding and the operative time.

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Kakani, Rajesh S., Noreen D. Callan e Max M. April. "Superior Adenoidectomy in Children with Palatal Abnormalities". Ear, Nose & Throat Journal 79, n. 4 (aprile 2000): 300–305. http://dx.doi.org/10.1177/014556130007900417.

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When treating a child with a palatal abnormality for otitis media or a nasal obstruction, otolaryngologists often face the question of whether the benefits of adenoidectomy are worth the risk of the development of velopharyngeal insufficiency. Treatment options for these patients include a complete adenoidectomy, a partial adenoidectomy, or no surgical intervention. In this retrospective study, we describe the outcomes of 22 such patients who were treated with a superior adenoidectomy performed with a St. Clair adenoid forceps under indirect vision with a laryngeal mirror. All patients experienced a complete or near-complete resolution of their nasal obstruction, and none developed permanent velopharyngeal insufficiency. Only three patients experienced a recurrence of otitis media. Our experience suggests that superior adenoidectomy is a safe and effective procedure.

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Muniraju, M., e Mohammed Saifulla. "A comparative study of adenoidectomy by microdebrider vs conventional method". International Journal of Otorhinolaryngology and Head and Neck Surgery 4, n. 3 (26 aprile 2018): 808. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20181876.

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Background: Adenoidectomy is a commonly performed ENT surgery. This present article aims to evaluate endoscopic powered adenoidectomy as an alternative for conventional curettage method.Methods: Sixty consecutive cases requiring adenoidectomy were randomized into two groups of thirty each. Group A underwent endoscopic assisted micro-debrider adenoidectomy and Group B underwent conventional adenoidectomy using the curettage method in study period from November 2015 to May 2017. Results: The average time taken in Group A was 34.10 minutes and in Group B was 22.83 minutes (p<0.001). The average blood loss in Group A was 29.57 ml as compared to 16.67 ml in Group B (p<0.001). The resection was invariably complete in Group A whereas five (16.7%) cases had more than 50% residual adenoid tissue in Group B. Four cases in group B had collateral damage whereas in Group A, there were no added injuries. Post operative pain was studied only in cases undergoing adenoidectomy alone. Group A (n=8) demonstrated a pain score of 3.50 – 3.09 whereas Group B (n=11) demonstrated a pain score of 2.75-2.55. In group A, the mean recovery period was 2.80 days and 8.23 days in Group B (p<0.001).Conclusions: Endoscopic powered adenoidectomy was found to be a safe and effective tool for adenoidectomy. The study parameters where endoscopic powered adenoidectomy fared better were completeness of resection, accurate resection under vision, lesser collateral damage and faster recovery time. On the other hand, conventional adenoidectomy scored in matter of lesser operative time and intra-operative bleeding.

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Gates, George A. "Adenoidectomy for Otitis Media with Effusion". Annals of Otology, Rhinology & Laryngology 103, n. 5_suppl (maggio 1994): 54–58. http://dx.doi.org/10.1177/00034894941030s515.

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The efficacy of adenoidectomy in the surgical treatment of children with otitis media with effusion (OME) persisting after adequate medical therapy has been established in three independent randomized clinical trials. Although each of these studies used a different experimental design, all showed significant reductions in morbidity from ome after adenoidectomy as compared to the control groups. Subsequent application of these findings in formulating clinical guidelines for the use of adenoidectomy has yet to be realized, and recommendations to parents for or against the procedure appear to vary more with the surgeon's philosophy than with the condition of the child. This discussion examines the effectiveness and cost of adenoidectomy for the treatment of children with chronic OME and addresses the question of whether adenoidectomy should be used as a primary or a secondary surgical therapy. The argument is made to use adenoidectomy as a primary therapy in selected cases on the basis of patient age, type of OME, and patient preference, and to base the decision not on the size of the adenoid, but on its known pathophysiology.

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Krishnakumar, Nithya, N. K. Bashir e Girish Raj. "Comparison of blood loss in endoscopic powered adenoidectomy and conventional curettage". International Journal of Otorhinolaryngology and Head and Neck Surgery 5, n. 3 (26 aprile 2019): 577. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20191047.

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Background: Adenoidectomy is one of the most common surgeries done in children. Over the years many techniques have evolved like powered adenoidectomy, radiofrequency ablation, electro cautery etc. Use of endoscopes has enabled surgeons to perform adenoidectomy under direct vision. The objectives of the study were to compare blood loss of conventional and endoscopic assisted powered adenoidectomy.Methods: In this a prospective observational study of 30 children attending ENT department in MES Medical College was done. In the conventional technique, adenoidectomy was done using St Claire Thomson adenoid curette. In powered adenoidectomy technique, micro debrider was used under guidance of 00 nasal endoscope (2.7 mm). Intra operatively blood loss during surgery were looked for and noted in both groups. Results: In the study of 30 children divided in to 2 groups who are comparable statistically. Average blood loss in patients who underwent CA was 38.53 ml and in patients who underwent EAA was 28.27 ml, with standard deviation of 4.704 and 3.863 respectively. The difference in mean blood loss was 10.26 ml.Conclusions: Endoscopic assisted powered adenoidectomy has lower blood loss as compared to conventional adenoidectomy.

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Henry, Lakeisha R., Thomas J. Gal e Eric A. Mair. "Does Increased Electrocautery during Adenoidectomy Lead to Neck Pain?" Otolaryngology–Head and Neck Surgery 133, n. 4 (ottobre 2005): 556–61. http://dx.doi.org/10.1016/j.otohns.2005.07.008.

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OBJECTIVES: The objective was to assess the impact of electrocautery on complications in adenoidectomy. We sought to quantify cautery-related temperature changes in prevertebral fascia that may occur during the procedure, retrospectively evaluate the incidence of cautery-related complications, and prospectively assess the role of cautery in postoperative neck pain. METHODS: Three consecutive related trials were performed. Initially, adenoidectomy was performed on 20 fresh cadavers, using a thermister to evaluate temperature changes in the prevertebral fascia after electrocautery (30 watts over a 30-second period). Next, retrospective analysis of adenoidectomy complications in 1206 children over a 5-year period was performed. Based on these findings, a prospective study of the incidence of neck pain following adenoidectomy was performed in a cohort of 276 children. Adenoidectomy technique, wattage, and duration of electro-cautery were recorded for each child. Children with significant neck pain were evaluated with MRI. RESULTS: Peak thermister readings averaged 74°C, for a mean change of 51.8°C. Complications observed in retrospective analysis included neck pain (3), Grisel's syndrome (1), prolonged velopharyngeal insufficiency (1), retropharyngeal edema (1), and severe nasopharyngeal stenosis (1). The incidence of neck pain in the prospective study was 12% (33 pts), and was independent of adenoidectomy technique, cautery wattage, or duration of cautery use. MRIs revealed edema without abscess. CONCLUSIONS: Cautery can result in substantial temperature changes in the surgical adenoid bed. Despite this, the incidence of complications, specifically neck pain, associated with adenoidectomy is low, although underreported. Complications appear to be independent of adenoidectomy technique and cautery use.

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Juneja, R., R. Meher, A. Raj, P. Rathore, V. Wadhwa e N. Arora. "Endoscopic assisted powered adenoidectomy versus conventional adenoidectomy – a randomised controlled trial". Journal of Laryngology & Otology 133, n. 4 (aprile 2019): 289–93. http://dx.doi.org/10.1017/s0022215119000550.

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AbstractObjectiveTo compare endoscopic assisted powered adenoidectomy with conventional curettage adenoidectomy.MethodsA randomised controlled trial was conducted at a tertiary care teaching hospital. Fifty patients with a symptom complex pertaining to adenoid hypertrophy and requiring adenoidectomy were chosen and divided into 2 groups of 25 each. Patients in group A underwent conventional curettage adenoidectomy and those in group B underwent endoscopic assisted powered adenoidectomy. Comparison was based on the parameters of surgical time, intra-operative bleeding, post-operative pain and completeness of adenoid removal.ResultsThe surgical time was significantly longer with the powered instrument. Mean blood loss was greater in the powered group, but was statistically insignificant. The powered procedure fared significantly better, with lower pain scores and more instances of complete tissue resection.ConclusionA curved microdebrider blade can be used safely and precisely for adenoidectomy under endoscopic vision. It enables complete resection of adenoid tissue. This method also proves to be an excellent teaching aid.

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Gigante, J. "Tonsillectomy and Adenoidectomy". Pediatrics in Review 26, n. 6 (1 giugno 2005): 199–203. http://dx.doi.org/10.1542/pir.26-6-199.

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LEIGHTON, S. E. J., J. M. ROWE-JONES, J. R. KNIGHT e V. L. MOORE-GILLON. "Day case adenoidectomy". Clinical Otolaryngology & Allied Sciences 18, n. 3 (2 agosto 2007): 215–19. http://dx.doi.org/10.1111/j.1365-2273.1993.tb00834.x.

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Ciprandi, Giorgio, Ignazio La Mantia e Attilio Varricchio. "Is Adenoidectomy Preventable?" Turk Otolarengoloji Arsivi/Turkish Archives of Otolaryngology 56, n. 2 (10 agosto 2018): 129–31. http://dx.doi.org/10.5152/tao.2018.3352.

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Hartley, B. E. J., B. C. Papsin e D. M. Albert. "Suction diathermy adenoidectomy". Clinical Otolaryngology and Allied Sciences 23, n. 4 (agosto 1998): 308–9. http://dx.doi.org/10.1046/j.1365-2273.1998.00148.x.

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Deutsch, Ellen S. "TONSILLECTOMY AND ADENOIDECTOMY". Pediatric Clinics of North America 43, n. 6 (dicembre 1996): 1319–38. http://dx.doi.org/10.1016/s0031-3955(05)70521-6.

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Ramos, Sharon D., Shraddha Mukerji e Harold S. Pine. "Tonsillectomy and Adenoidectomy". Pediatric Clinics of North America 60, n. 4 (agosto 2013): 793–807. http://dx.doi.org/10.1016/j.pcl.2013.04.015.

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Guida, Robert A., e Kenneth F. Mattucci. "Tonsillectomy and Adenoidectomy". Laryngoscope 100, n. 5 (maggio 1990): 491???493. http://dx.doi.org/10.1288/00005537-199005000-00009.

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Grover, Mohnish. "Adenoidectomy: Our Approach". International Journal of Otolaryngology 2010 (2010): 1. http://dx.doi.org/10.1155/2010/628969.

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Cannon, C. Ron, William H. Replogle e Michael P. Schenk. "Endoscopic-assisted Adenoidectomy". Otolaryngology–Head and Neck Surgery 121, n. 6 (dicembre 1999): 740–44. http://dx.doi.org/10.1053/hn.1999.v121.a98201.

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Krug, Penny J., e Jayne A. Speelman. "Tonsillectomy and Adenoidectomy". AORN Journal 50, n. 5 (novembre 1989): 990–96. http://dx.doi.org/10.1016/s0001-2092(07)66969-5.

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Okur, Erdoğan, Murat Aral, İlhami Yildirim, M. Akif Kılıç e Pınar Çiragil. "Bacteremia during adenoidectomy". International Journal of Pediatric Otorhinolaryngology 66, n. 2 (novembre 2002): 149–53. http://dx.doi.org/10.1016/s0165-5876(02)00239-2.

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Schaffer, Scott R., e Adi Yoskovitch. "Transoral endoscopic adenoidectomy". Operative Techniques in Otolaryngology-Head and Neck Surgery 8, n. 2 (giugno 1997): 52–55. http://dx.doi.org/10.1016/s1043-1810(97)80002-4.

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Potsic, William P. "TONSILLECTOMY AND ADENOIDECTOMY". International Anesthesiology Clinics 26, n. 1 (1988): 58–60. http://dx.doi.org/10.1097/00004311-198802610-00012.

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Mevio, Emilio, Mauro Mullace, Sergio Costantini e Giampietro Paganini. "A Dangerous Adenoidectomy". Journal of Rhinolaryngo-Otologies 5, n. 1 (12 aprile 2017): 1–3. http://dx.doi.org/10.12970/2308-7978.2017.05.01.

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El-Badrawy, Amr, e Mosaad Abdel-Aziz. "Transoral Endoscopic Adenoidectomy". International Journal of Otolaryngology 2009 (2009): 1–4. http://dx.doi.org/10.1155/2009/949315.

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Objective. Adenoid curette guided by an indirect transoral mirror and a headlight is a simple and quick procedure that has already been in use for a long time, but this method carries a high risk of recurrence unless done by a well-experienced surgeon. The purpose of this paper was to evaluate the efficacy of transoral endoscopic adenoidectomy in relieving the obstructive nasal symptoms.Methods. 300 children underwent transoral endoscopic adenoidectomy using the classic adenoid curette and St Claire Thomson forceps with a Hopkins 4-mm nasal endoscope introduced through the mouth and the view was projected on a monitor. Telephone questionnaire was used to follow-up the children for one year. Flexible nasopharyngoscopy was carried out for children with recurrent obstructive nasal symptoms to detect adenoid rehypertrophy.Results. No cases presented with postoperative complications. Only one case developed recurrent obstructive nasal symptoms due to adenoid regrowth and investigations showed that he had nasal allergy which may be the cause of recurrence.Conclusion. Transoral endoscopic adenoidectomy is the recent advancement of classic curettage adenoidectomy with direct vision of the nasopharynx that enables the surgeon to avoid injury of important structures as Eustachian tube orifices, and also it gives him the chance to completely remove the adenoidal tissues.

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Milford, C. A. "Hypoxaemia and adenoidectomy." BMJ 298, n. 6685 (27 maggio 1989): 1451. http://dx.doi.org/10.1136/bmj.298.6685.1451-a.

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Murray, Nicole, Philip Fitzpatrick e J. Lindhe Guarisco. "Powered Partial Adenoidectomy". Archives of Otolaryngology–Head & Neck Surgery 128, n. 7 (1 luglio 2002): 792. http://dx.doi.org/10.1001/archotol.128.7.792.

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Koltai, P. J., A. S. Kalathia, P. Stanislaw e H. A. Heras. "Power-Assisted Adenoidectomy". Archives of Otolaryngology - Head and Neck Surgery 123, n. 7 (1 luglio 1997): 685–88. http://dx.doi.org/10.1001/archotol.1997.01900070023004.

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Robb, P. J. "Adenoidectomy: does it work?" Journal of Laryngology & Otology 121, n. 3 (24 maggio 2006): 209–14. http://dx.doi.org/10.1017/s0022215106001563.

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Abstract (sommario):

Adenoidectomy is a common, routine paediatric operation for which the evidence base for effectiveness is lacking. While there is a broad evidence base of variable quality for other common children's ENT operations, most published data including adenoidectomy is combined with the effect of combined tonsillectomy or grommet surgery. For the common indications for adenoidectomy, does it work?

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Ren, Yan-Fang, Annika Isberg e Gunilla Henningsson. "Velopharyngeal Incompetence and Persistent Hypernasality after Adenoidectomy in Children without Palatal Defect". Cleft Palate-Craniofacial Journal 32, n. 6 (novembre 1995): 476–82. http://dx.doi.org/10.1597/1545-1569_1995_032_0476_viapha_2.3.co_2.

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Persistent hyper nasal speech after adenoidectomy has been reported In children with palatal deficiency. Hypernasality after adenoidectomy can also occur in children with normal palatal function. The aim of the present study was to identify the cause of velopharyngeal Incompetence and hypernasality after adenoidectomy in children who did not have palatal defect as a predisposing factor. Sixteen children who developed hypernasality after adenoidectomy were included in the present study. Standard lateral cephalometry, videofluoroscopy, and nasopnaryngoscopy were performed to visualize the velopharynx and Its function during speech. The results showed that enlarged tonsils and prominent remaining adenoid tissue on the posterior pharyngeal wall were the causes of hypernasality in these children. Incomplete removal of the adenoid tissue should be avoided and enlarged tonsils should be removed at the time of adenoidectomy to prevent the risk for postoperative hypernasality.

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Singh, Saroo, B. Vageesh Padiyar e Nishi Sharma. "Endoscopic-Assisted Powered Adenoidectomy versus Conventional Adenoidectomy: A Randomized Study". Dubai Medical Journal 2, n. 2 (8 maggio 2019): 41–45. http://dx.doi.org/10.1159/000500746.

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Öztürk, Özmen, e Şenol Polat. "Comparison of Transoral Power-Assisted Endoscopic Adenoidectomy to Curettage Adenoidectomy". Advances in Therapy 29, n. 8 (31 luglio 2012): 708–21. http://dx.doi.org/10.1007/s12325-012-0036-6.

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Thomas, George, Jathin Sam Thekkethil, Sumin Mariyam Thomas, Shary Ramesh e Ann Mariam Varghese. "Role of coblation in reducing pain and morbidity of adenoidectomy". International Journal of Otorhinolaryngology and Head and Neck Surgery 6, n. 1 (23 dicembre 2019): 123. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20195701.

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Background: Adenoidectomy is one of the most commonly performed paediatric surgical procedure by otorhinolaryngologists. Over the past few decades, adenoidectomy has evolved and different techniques have been proposed to reduce morbidity and surgical risk. Controlled ablation or Coblation® is capable of low temperature molecular disintegration within soft tissue causing its dissolution. In this study, we report our experience of adenoidectomy using Coblation®, and its role in reducing pain, morbidity and its significant outcomes are discussed.Methods: A total number of 25 children aged 3-15 years, who underwent coblation adenoidectomy between March 2017 and April 2018 were included in this study.Results: The mean age was 7.8 years (males 7.79 years and females 7.81 years). Pre operatively 100% patients had sleep disturbance and after coblation adenoidectomy only 12% patients have disturbed sleep and the rest 88% patients have comfortable sleep. 80% patients did not have pain in immediate post-operative period and 88% had no pain when they visited hospital for first review. 76% patients had less than one day of hospital stay and 24% patients had more than one day of hospital stay. 68% patients had no episode of upper respiratory tract infection (URTI) within the first one year after surgery.Conclusions: Over the years, many different adenoidectomy techniques have evolved and is surgeon specific or centre specific. Endoscopic-assisted coblation adenoidectomy is a safe and effective method of adenoidectomy.

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Sahni, Dimple, Gurleen Kaur, Sanjeev Bhagat, Parvinder Singh, Peeyush Verma e Nitin Chhabra. "Comparison between endoscope assisted powered and conventional adenoidectomy". International Journal of Otorhinolaryngology and Head and Neck Surgery 7, n. 1 (24 dicembre 2020): 50. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20205619.

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Background: Adenoidectomy is one of the commonest operations done on children. It is conventionally performed using the curettage method. This present study was done to compare the results of endoscopic powered adenoidectomy and conventional adenoidectomy.Methods: The present prospective randomized study was conducted among 50 patients between 4-16 years of age requiring adenoidectomy with or without tonsillectomy in department of ENT in Government Medical College and Rajindra Hospital, Patiala. All the 50 patients were divided into two groups (group A and group B) by systematic random sampling. Group A consisted of 25 patients who underwent conventional curettage adenoidectomy and group B consisted of 25 patients who underwent Microdebrider-Assisted Adenoidectomy. Results: In group A and B, mean±SD intraoperative blood loss (in ml) was 20.60±7.96 and 30.60±7.96 respectively. Mean±SD operative time (in minutes) was 28.60±4.71 in group A, while in group B it was 39.60±4.71 with statistically significant difference. Complete adenoid removal was found in 52% of the subjects in group A while it was found in 96% of the subjects in group B with statistically significant difference. In group A, mean±SD recovery time (in hrs) observed was 33.52±10.58 while in group B, recovery time (in hours) observed was 36.22±11.31.Conclusions: Based on the results of this study, it can be concluded that the new method of microdebrider assisted powered adenoidectomy was found to be safer and more useful tool for adenoidectomy than conventional method.

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Qobty, Abdelaziz, Ali S. Al-Qahtani, Ali Almothahbi e Nadiah Al Hariri. "Do repeated adenoidctomy challenging the post adenoidectomy bleeding control". Journal of Otolaryngology-ENT Research 12, n. 2 (2020): 50–52. http://dx.doi.org/10.15406/joentr.2020.12.00455.

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Objective: The aim of this study was to analyse the data of patients underwent adenoidectomy in Otorhinolaryngological practice, and determine the incidence of adenoid regrowth after adenoidectomy evaluate complications of surgery& challenging in management of these complications. Setting: Tertiary referral centre. Methods: Retrospective study over 5 years of all adenoidectomy cases at Aseer central hospital during the period from January 2013 to January 2017. Patient’s demographic data, recurrent cases and post op complications were analysed. Results: A total 201 cases underwent adenoidectomy 117 (58.2%) Male and 84(41.8%) were female. The age range was from1 year to 9year; . shows that 98.0% of the sample have (No Recurrence), 2.0% ( 4 cases ) have (Recurrence Underwent 2ND Adenoidctomy.95.5% of the sample don’t have complications, 4.5% ( 9 cases ) have (complications)which is bleeding per mouth , 7 cases managed surgically and 2 cases managed conservative. Conclusion: Adenoid regrowth after adenoidectomy is rare about 2% & most common complications noticed is bleeding per mouth.

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Wei, L., M. Wang, N. Hua, K. Tong, L. Zhai e Z. Wang. "Regrowth of the adenoids after adenoidectomy down to the pharyngobasilar fascial surface". Journal of Laryngology & Otology 129, n. 7 (luglio 2015): 662–65. http://dx.doi.org/10.1017/s0022215115001437.

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AbstractObjectives:This study aimed to explore adenoid regrowth after transoral power-assisted adenoidectomy down to the pharyngobasilar fascial surface.Methods:Transoral adenoidectomy down to the pharyngobasilar fascia surface was performed on 39 patients under endoscopic guidance, using a power-assisted system. The operation time, amount of blood loss and iatrogenic injury, presence of complications, and success and regrowth rates were recorded to assess the feasibility, safety and effectiveness of our surgical technique.Results:In this adenoidectomy procedure, the pharyngobasilar fascia was left intact. The estimated blood loss was 5–50 ml (mean 15 ml), and the success rate was 97.3 per cent. Early complications occurred in 2.3 per cent of patients, while no long-term complications occurred in the cohort. No regrowth was found in the follow-up assessments, which were performed for 18–36 months after surgery.Conclusion:Adenoid regrowth was rare after adenoidectomy down to the pharyngobasilar fascial surface. The pharyngobasilar fascia can therefore be considered a surgical boundary for adenoidectomy.

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Liapi, A., G. Dhanasekar e N. O. Turner. "Role of revision adenoidectomy in paediatric otolaryngological practice". Journal of Laryngology & Otology 120, n. 3 (27 gennaio 2006): 219–21. http://dx.doi.org/10.1017/s0022215106005585.

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Objectives: We aimed to determine the need for revision adenoidectomy following the standard technique of blind curettage with digital palpation.Methods: Within a district general hospital, we undertook a retrospective study of 3231 children who underwent adenoidectomy between 1996 and 2003, 53 of whom required revision adenoidectomy. The main outcome measure was the number of children needing revision adenoidectomy.Results: A total of 53 children required a repeated operation for recurrence of symptoms (1.6 per cent); of these, 42 were for treatment of glue ear, five were for nasal symptoms and six were for adenoidal infection.Conclusion: Adenoidectomy performed without vision may be one of the reasons for recurrence of symptoms. Residual adenoids are acknowledged in the literature as one of the complications of the traditional technique. We highlight the fact that the need for revision adenoidectomy is not uncommon and suggest that we should improve our surgical technique in the UK by visualization of the postnasal space either by a mirror or an endoscope.

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Bradoo, Renuka A., Rahul R. Modi, Anagha A. Joshi e Vikas Wahane. "Comparison of Endoscopic-Assisted Adenoidectomy with Conventional Method". An International Journal Clinical Rhinology 4, n. 2 (2011): 75–78. http://dx.doi.org/10.5005/jp-journals-10013-1077.

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ABSTRACT Objective To evaluate and compare the efficacy of endoscopic-assisted (EA) adenoidectomy with the conventional adenoidectomy (CA) with an aim to reduce rates of residual adenoid tissue after adenoidectomy. Methods A prospective randomized study involving 32 patients in which 16 underwent EA and 16 underwent CA. The outcomes compared were residual adenoid tissue after 3 months of surgery, operative blood loss, operative time and complications. Setting A tertiary care teaching hospital. Results EA was significantly better in terms of residual tissue left behind as compared to CA (p < 0.05), similar operative blood loss and operative time with no difference in complications. Conclusion EA makes for a safe and efficacious way to do an adenoidectomy which has a significant advantage over CA.

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Venkataramani, Nithya, Ravi Sachidananda, Sandeep Dachuri e Srividya Rao Vasishta. "Suction diathermy adenoidectomy: audit of current practice in a tertiary care hospital". International Journal of Otorhinolaryngology and Head and Neck Surgery 5, n. 6 (23 ottobre 2019): 1611. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20194935.

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Background: Adenoidectomy is conventionally performed using adenoid curette as a blind procedure. Suction diathermy adenoidectomy is a technique of ablating the adenoid tissue using thermal energy and removing it by suction. This audit aims to study the efficacy and complications of this technique in a tertiary care center.Methods: Retrospective analysis of hospital database was conducted. Twenty-seven patients who underwent suction diathermy adenoidectomy were identified and hospital records studied. Parents were contacted and enquired regarding improvement in child's symptoms.Results: No instances of postoperative complications identified. All except 2 parents were completely satisfied with the improvement in their child's symptoms. Two children had occasional mouth breathing.Conclusions: Suction diathermy adenoidectomy is a feasible alternative to conventional adenoidectomy with few complications and minimal rate of recurrence.

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Yang, Sun Mo, Hyun Ung Kim, Jin Hack Cho, Jung Hyun Kim, Byoung Yuk Min, Hyung Ro Chu e Chan Hum Park. "A Comparative Study between Endoscopic Adenoidectomy and Conventional Adenoidectomy in Children". Journal of Clinical Otolaryngology Head and Neck Surgery 13, n. 1 (maggio 2002): 105–10. http://dx.doi.org/10.35420/jcohns.2002.13.1.105.

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Rajashekhar, Rashmi P., e Vinod V. Shinde. "Tympanometric changes following adenoidectomy in children with adenoid hypertrophy". International Journal of Otorhinolaryngology and Head and Neck Surgery 4, n. 2 (23 febbraio 2018): 391. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20180423.

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Background: Adenoid Hypertrophy is the commonest disorder in children. The size of adenoids varies from child to child and also in the same individual as he grows and attains maximum size between age of 3 to 7 years. Adenoid hypertrophy plays a significant role in the pathogenesis of otitis media with effusion. Our objective was to study the tympanogram changes following adenoidectomy. i.e to find out the effect of adenoidectomy on Otitis Media with Effusion.Methods: Patients showing >50% of airway obstruction by the adenoids were included in the study. 20 patients with adenoid hypertrophy underwent adenoidectomy. Pre-operative and postoperative tympanograms of 40 ears were studied. Results: Type A curve (normal) was found in 12 ears. Type B Flat tympanogram – 12 ears s/o Gross Serous Otitis Media. Type C tympanogram – 8 ears s/o uncomplicated eustachian tube obstruction. 5 ears showed tympanogram s/o Eustachian tube block without significant collection of middle ear fluid. 3 ears showed tympanogram s/o uncomplicated eustachian tube obstruction. Post adenoidectomy, 32 ears showed normal tympanogram. 8 ears showed tympanogram s/o negative middle ear pressure with normal compliance.Conclusions: Our study shows high prevalence of Otitis Media with Effusion in patients with adenoid hypertrophy. Otitis Media with Effusion is treated by adenoidectomy in most of the patients which is confirmed by post adenoidectomy tympanogram. Also, problem of decreased attention in school due to reduced hearing secondary to OME can be corrected by adenoidectomy. Hence, all patients should undergo pre and post-adenoidectomy tympanometry to know the compliance and pressure changes in the middle ear.

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