Transoral Endoscopic Adenoidectomy

El-Badrawy, Amr; Abdel‐Aziz, Mosaad

doi:10.1155/2009/949315

Cited by 17 publications

(15 citation statements)

References 18 publications

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“…Therefore it takes part in the pathogenesis of rhinosinusitis, recurrent otitis media (OM), and OM with effusion. [11] The causes of adenoid hypertrophy are not fully known. Some of the triggers that have been associated with symptomatic enlargement of adenoidal tissue include microbial stimuli and external irritants such as cigarette smoke.…”

Section: Adenoidectomy Indicationsmentioning

confidence: 99%

Adenoidectomy: current approaches and review of the literature

Aydın²

2016

Kulak Burun Bogaz Ihtis Derg

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Adenoid is a secondary lymphoid organ located in the nasopharynx. Due to its location, it plays an important role in the host defense of the upper respiratory tract. Immunoglobulin G3 and immunoglobulin A1 antibodies are prevalent antibodies in the adenoid tissue. Adenoidal hypertrophy is a common condition in children causing symptoms such as mouth breathing, nasal discharge, snoring, sleep apnea, and hyponasal speech. It also plays a role in the pathogenesis of rhinosinusitis, recurrent otitis media, and otitis media with effusion. Currently, adenoidectomy is one of the most commonly performed pediatric surgical procedures worldwide. Although there is still poor evidence in the literature, recurrent upper respiratory infections, otitis media with effusion, and obstructive sleep apnea syndrome are considered to be the main indications of adenoidectomy. Adenoidectomy can be carried out with several techniques and instruments. Although rare, surgery possesses some risks and may cause emotional distress both for the patient and the family. Nonsurgical treatments such as intranasal steroids are also used in the treatment of adenoid hypertrophy. In this review, we discuss the current literature on the adenoid function, adenoidectomy indications, and treatment of adenoid hypertrophy.Keywords: Adenoidectomy; adenoidectomy indication; adenoidectomy technique; function of adenoid; immunology of adenoid. ÖZAdenoid, nazofarenkste yer alan sekonder lenfoid organdır. Yerleşim yeri nedeniyle, üst solunum yolundaki konak savunmasında önemli bir rol oynar. Immünglobulin G3 ve immünglobulin A1 antikorları, adenoid dokusunda yaygın bulunan antikorlardır. Adenoid hipertrofisi çocuklarda ağız solunumu, burun akıntısı, horlama, uyku apnesi ve hiponazal konuşma gibi semptomlara neden olan yaygın bir durumdur. Bununla birlikte, rinosinüzit, tekrarlayan otitis media ve efüzyonlu otitis media patogenezinde rol oynar. Günümüzde adenoidektomi tüm dünyada en sık uygulanan pediatrik cerrahilerden biridir. Literatürde henüz yeterli kanıt mevcut olmamasına rağmen, tekrarlayan üst solunum yolu enfeksiyonları, efüzyonlu otitis media ve tıkayıcı uyku apnesi sendromunun adenoidektominin başlıca endikasyonları olduğu düşünülmektedir. Adenoidektomi birçok teknik ve araç ile uygulanabilmektedir. Nadir olmasına karşın, cerrahi bazı riskler taşımakta ve hem hasta hem de aile için duygusal stres yaratabilmektedir. Adenoid hipertrofisinin tedavisinde intranazal steroid gibi cerrahi dışı tedaviler de kullanılmaktadır. Bu derlemede adenoid fonksiyonu, adenoidektomi endikasyonları ve adenoid hipertrofisinin tedavisine ilişkin mevcut literatür tartışıldı.Anahtar Sözcükler: Adenoidektomi; adenoidektomi endikasyonu; adenoidektomi tekniği; adenoid fonksiyonu; adenoid immünolojisi.Adenoidectomy is one of the most commonly performed pediatric surgical procedures all over the world today, either alone or in conjunction with tonsillectomy and/or insertion of ventilating tubes.[1] Annual adenoidectomy rates differ between countries.

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Section: Adenoidectomy Indicationsmentioning

confidence: 99%

Adenoidectomy: current approaches and review of the literature

Aydın²

2016

Kulak Burun Bogaz Ihtis Derg

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“…They concluded that digital palpation is not a reliable method and visualization of the nasopharynx is important for a complete adenoidectomy. El-Badrawy and M. Abdel-Aziz [2] performed transoral endoscopicguided adenoidectomy using the adenoid curette and forceps similar to our first group of patients. Wan et al [5] performed nasal endoscopic-guided adenoidectomy using a classic adenoid curette.…”

Section: Discussionmentioning

confidence: 92%

“…Adenoidal hypertrophy is a common cause of airway obstruction in children and can cause symptoms such as nasal discharge, mouth breathing, nasal obstruction, snoring, sleep apnea, hyponasal speech, orofacial growth disturbance, otitis media with effusion, recurrent otitis media and rhinosinusitis [1][2][3]. Adenoidectomy is often indicated in patients with these complaints.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Transoral/Transnasal Endoscopic-Guided Adenoidectomy with Endoscopic Nasopharyngeal Inspection at the End of Curettage Adenoidectomy

Yaman

Memis

Ilhan

2014

Indian J Otolaryngol Head Neck Surg

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The purpose of this study was to evaluate the efficacy of transoral or transnasal endoscopic-guided adenoidectomy compared with endoscopic nasopharyngeal inspection at the end of curettage adenoidectomy. A prospective case series of patients who had adenoidectomy. A total of 27 girls and 34 boys (age range 2.5-18 years) in whom adenoidectomy with or without tonsillectomy procedure was planned were included in the study. The cases were divided into three groups. Group 1 Transoral endoscopic-guided adenoidectomy performed patients. Group 2 Transnasal endoscopic-guided adenoidectomy performed patients. Group 3 Transnasal endoscopic nasopharyngeal exploration performed at the end of the conventional curettage adenoidectomy. The study was completed on 61 children. Mean age and sex frequency were not significant different between the groups. Mean operative time were 11.6 ± 2.9, 15.6 ± 4.4 and 9.7 ± 2 min, respectively (p > 0.05). On the other hand, significant differences were observed in operative time between group 1 and group 2 (p < 0.05), and between group 2 and group 3 (p < 0.05). Transnasal endoscopic examination at the end of curettage adenoidectomy is an appropriate method to assess the residual adenoid tissue after conventional curettage adenoidectomy. Also, operative time of this method is shorter than transoral or transnasal endoscopic-guided adenoidectomy. We recommend transnasal endoscopic inspection in all patients after conventional curettage adenoidectomy.

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“…Buchinsky et al [20] found no re-growth in children following adenoidectomy, while Emerick and Cunningham [3] attributed the cause of recurrent symptoms after adenoidectomy to recurrent or residual adenoid, and/or tubal tonsil hypertrophy. Also, recurrent upper respiratory tract infections after adenoidectomy may play a role in recurrence of AH [3,12], a point that was not taken into our consideration during the study design.…”

Section: Discussionmentioning

confidence: 99%

“…Yanagisawa and Weaver [11] used the same technique with endoscopic vision but they found difficulty in maneuvering the microdebrider tip into the nasopharynx. Trans-oral endoscopic adenoidectomy was used by El-Badrawy and Abdel-Aziz [12]; although the technique is simple, it needs special instruments that may be not available in the theater.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic nasopharyngeal exploration at the end of conventional curettage adenoidectomy

Abdel‐Aziz

2011

Eur Arch Otorhinolaryngol

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Adenoid hypertrophy (AH) is a common cause of airway obstruction in children and its recurrence after conventional curettage adenoidectomy is not rare. The purpose of this study is to assess the efficacy of endoscopic nasopharyngeal exploration at the end of curettage adenoidectomy on decreasing the incidence of adenoid re-hypertrophy. Three hundred and fifty children diagnosed as having AH, underwent conventional curettage adenoidectomy by a single surgeon. The cases were randomly divided into two equal groups A and B, group B were further subjected to nasopharyngeal exploration by the nasal endoscope after removal of their adenoids with cauterization of any visible residuals, while group A were not subjected to this endoscopic maneuver. Follow-up was carried out for at least 2 years; flexible nasopharyngoscopy was used for detection of recurrent AH. Cases that were not subjected to endoscopic nasopharyngeal exploration (group A) showed a high recurrence rate (6.6%), while explored cases (group B) showed a low incidence of recurrence (1.18%). Most recurrence of group A (6%) was detected within the first year of the follow-up period which may indicate re-growth of residual adenoidal tissues that were missed during conventional curettage adenoidectomy. Endoscopic nasopharyngeal exploration at the end of conventional curettage adenoidectomy is a useful method in decreasing the incidence of recurrent AH.

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Transoral Endoscopic Adenoidectomy

Cited by 17 publications

References 18 publications

Adenoidectomy: current approaches and review of the literature

Adenoidectomy: current approaches and review of the literature

Comparison of Transoral/Transnasal Endoscopic-Guided Adenoidectomy with Endoscopic Nasopharyngeal Inspection at the End of Curettage Adenoidectomy

Endoscopic nasopharyngeal exploration at the end of conventional curettage adenoidectomy

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