Long-term clinical results of power-assisted adenoidectomy with torus tubarius correction

Abstract

In patients with hypertrophy of the pharyngeal tonsil, hypertrophy of the lymphoid tissue of the torus tubarius is often observed. The application of power-assisted technologies allows for precise correction of the torus tubarius simultaneously with adenoidectomy. The purpose of the study was to investigate the clinical effectiveness of power-assisted endoscopic adenoidectomy with additional correction of the torus tubarius in the presence of its hypertrophy, based on postoperative survey results. For this purpose, we surveyed of 209 patients who underwent endoscopic power-assisted adenoidectomy. In 107 of them additional correction of torus tubarius hypertrophy was performed in case of its presence (main group), while in 102, only adenoidectomy was performed in all patients (control group). The prevalence of main group complaints before adenoidectomy and their dynamics were assessed based on a survey 12–24 months post-intervention. It was found that the additional removal of hypertrophied torus tuba­rius in children during power-assisted endoscopic adenoidectomy significantly reduces the risk of frequent upper respiratory tract infections and acute otitis media. The proportion of individuals who assessed the adenoidectomy effect as "significant improvement" in terms of "frequent upper respiratory tract infections" in the main group was 20.4% higher, and for "frequent acute otitis media" it was 41.3% higher. Conclusion: Endoscopic power-assisted adenoidectomy with torus tubarius correction is an effective and safe method for children with hypertrophy of the pharyngeal tonsil in combination with torus tubarius hypertrophy, especially in cases where indications for intervention include frequent upper respiratory tract infections and acute otitis media. Keywords: scoring system, tonsils hypertrophy, tonsil pharingeal, hypertrophy, otitis, inflammatory diseases of the nose and paranasal sinuses.