Role of endoscopic nasal examination in reduction of nasopharyngeal adenoid recurrence rates

Ezzat, Waleed F.

doi:10.1016/j.ijporl.2010.01.016

Cited by 38 publications

(26 citation statements)

References 8 publications

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“…According to literature, regrowth of this residual lymphoid tissue left as a result of blind removal causes significant recurrence of symptoms [24]. The evidence of residual adenoid tissue post-operatively in group A (by classical curettage technique) is well supported by studies by Stansilaw et al [23], Havas et al [10], Datta et al [7], Ezzat et al [25] and Hussein and Al-Juboori [26] with an incidence of 39, 39, 30,14.5 and 20 % respectively. All these studies strongly mention that presence of significant residual adenoid tissue especially along torus tubaris and intranasal protrusions lead to persistence of the initial symptoms and may necessitate a revision adenoidectomy in future.…”

Section: Number Of Cases Completeness Of Removal On Nasal Endoscopymentioning

confidence: 90%

Changing Trends in Adenoidectomy

Anand

Sarin

Singh

2013

Indian J Otolaryngol Head Neck Surg

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Adenoid hypertrophy treatment is must to alleviate chronic nasal obstruction, mouth breathing, rhinosinusitis and eustachian tube dysfunction. For proper management of this clinical entity a thorough clinical examination along with radiological and endoscopic evaluation is mandatory. Although, few children having adenoid hypertrophy respond to medical treatment, surgery remains the mainstay. An adenoidectomy can be performed by variety of techniques. Conventional adenoidectomy is by the curettage method, still practiced in many institutions, though, a recent technique of endoscopic assisted adenoidectomy by microdebrider is also getting popularized. Both the techniques have their own merits and demerits. However, which of the two surgical techniques is better, is still a matter of preference and experience of the surgeon with the technique. In the present study we will compare the conventional curettage adenoidectomy with endoscopically assisted adenoidectomy done with microdebrider in 40 pediatric patients of adenoid hypertrophy.

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Section: Number Of Cases Completeness Of Removal On Nasal Endoscopymentioning

confidence: 90%

Changing Trends in Adenoidectomy

Anand

Sarin

Singh

2013

Indian J Otolaryngol Head Neck Surg

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“…[3] It is particularly helpful for the diagnosis of nasal cavity and nasopharyngeal pathologies. [7] Today, factors and pathologies which are responsible for etiopathogenesis of otitis media have been evolving in favor of patient demographics. [5] Previous studies mostly reported bilateral OME in children and males, particularly.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic examination of the nasal cavity and nasopharynx in patients with otitis media

Evren¹

2014

Praxis of ORL

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Amaç: Bu çalışmada, rijit transnazal endoskopi ile nazal ve nazofarengeal patolojiler belirlendi ve bu patolojiler ve otitis media arasındaki olası ilişki araştırıldı. Hastalar ve Yöntemler:Çeşitli otitis media rahatsızlığı olan toplam 103 hasta (55 erkek, 48 kadın; ort. yaş 30.1 yıl; dağılım 4-72 yıl), yaş ve cinsiyet eşleştirilmiş 124 kontrol (56 erkek, 68 kadın; ort. yaş 20.5 yıl; dağılım 4-72 yıl) ile karşılaştırıldı. Kulak hastalığının klinik tipi ve nazal ve nazofarengeal bulgular rijit transnazal endoskopi ile belirlendi. Nazal endoskopide 0 derece, 4 veya 2.7 mm çapındaki rijit teleskoplar kullanıldı. Ameliyat mikroskopları ile otoskopi yapıldı. İstatistiksel analizde Student t testi kullanıldı. Bulgular:Otitis media hastalarında en sık bulgular östaki tüpünün nazofarengeal ağzında ödem ve nazofarenkste pürülan sekresyondu. Efüzyonlu otitis media (EOM) ve süpüratif kronik otitis media (KOM) olan çocuklarda sinüzit anlamlı olarak yüksekti. Septum deviyasyonu yalnızca KOM hastalarında anlamlı düzey-de yüksekti. Tuba ağzındaki adenoid doku basısı, EOM ve inaktif KOM olan çocuklarda daha sıktı; ancak, bu istatistiksel olarak anlamlı değildi.Sonuç: Çalışma bulgularımız, KOM tipi veya formu ile nazal ve nazofarenks patolojileri arasında bir ilişki olduğunu gösterdi. Özellikle otitis medianın süpüratif formları nazal ve nazofarenks enfeksiyonları ve östaki tüpü ağzında ödem ile anlamlı düzeyde ilişkiliydi.Anahtar Sözcükler: Nazofarenks; otitis media; transnazal endoskopi.Objectives: This study aims to identify nasal and nasopharyngeal pathologies using rigid transnasal endoscopy and to investigate the possible relationship between these pathologies and otitis media. Patients and Methods:A total of 103 patients (55 males, 48 females; mean age 30.1 years; range 4 to 72 years) with various types of otitis media were compared with age and sex-matched 124 controls (56 males, 68 females; mean age 20.5 years; range 4 to 72 years). The clinical type of ear disease, and nasal and nasopharyngeal findings were obtained by rigid transnasal endoscopy. Nasal endoscopy was performed with 0 degree, 4 or 2.7 mm diameter rigid telescopes. The otoscopy was performed with operating microscopes. Statistical analysis was performed using the Student's t test.Results: Edema at the nasopharyngeal opening of the Eustachian tube and purulent secretion in nasopharynx were the most common findings in all patients with otitis media. Sinusitis was significantly higher in children with otitis media with effusion (OME) and suppurative chronic otitis media (COM). Septal deviation was only significantly higher in patients with COM. Pressure of adenoid tissue on tuba opening was more frequent in children with OME and inactive COM; however, it did not reach statistical significance. Conclusion:Our study results revealed a relationship between the type or form of the COM and nasopharynx and nasal pathologies. Suppurative forms of otitis media, in particular, may be significantly associated with infectious nasal and nasopharyngeal pathologies and ed...

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“…In patients that undergo blind curettage adenoidectomy, residual adenoid tissue is found in specific locations-10-80% in the nasopharyngeal roof, 11-47% on either side of the nasopharynx, adjacent to the torus tubarius, and in about 6% at both sites [3,4]. Persistent symptoms post-adenoidectomy are more likely due to residual tissue hypertrophy, in the characteristic locations, over time.…”

Section: Where Was the Location Of The Residual Adenoid Tissue?mentioning

confidence: 99%

“…Patients that underwent endoscopic examination at the end of adenoidectomy (n = 118) had a 0.85% revision adenoidectomy rate over 2 years [4], and where endoscopic examination was not performed (n = 194); the revision adenoidectomy rate was 5.6%. Digital palpation of the nasopharynx does not adequately assess adenoid removal [3].…”

mentioning

confidence: 99%