Transnasal Endoscopic-assisted Conventional Adenoidectomy: A Study of 45 Cases
Journal Title: International Journal of Anatomy Radiology and Surgery - Year 2018, Vol 7, Issue 2
Abstract
Introduction: Adenoidectomy is one of the most common surgery performed in children. Conventional curettage adenoidectomy has the advantage of being low cost and continues to be a commonly used method especially in developing countries. In this paper, we study conventional curettage adenoidectomy performed under endoscopic guidance with additional endoscopic removal of remnant tissue. Aim: To study the efficacy of transnasal total endoscopic-guided adenoidectomy using conventional instruments. Materials and Methods: This prospective study was conducted in the Department of Otorhinolaryngology at BGS Global Hospital, Bengaluru, India over a period of three years from January 2012 to December 2014. Total 45 children in the age range of 4 to 15 years with adenoid hypertrophy who underwent endoscopic-guided adenoidectomy during the study period were included in the study. Preoperative assessment was done by clinical scoring and nasal endoscopic grading. About 76% cases had Grade IV adenoids and 24% Grade III. Conventional curettage of adenoids was done under transnasal endoscopic visualisation with additional endoscopic removal of remnant tissue. Near total or total removal was achieved in all cases. Results: Symptom scoring and nasal endoscopy done 6 months postoperatively show no adenoid remnant in 13.3% cases, Grade I in 80%, and Grade II in 6.66%. 16±1.5 minutes was the mean time taken for the surgery. Conclusion: The addition of endoscopic visualisation appears to greatly improve the outcomes of conventional curettage adenoidectomy without major complications.
Authors and Affiliations
Lakshmi Ananth, Pradeep Hosamani
Groove Pancreatitis – A Mimic of Pancreatic and Periampullary Tumors
Groove Pancreatitis (GP) is a rare form of focal chronic pancreatitis involving the pancreatico-duodenal groove (PDG). GP was first described by Becker in 1973. Though, GP has been described so many years ago, it is stil...
The Role of Grey Scale and Color Doppler Ultrasound in Evaluation and Differentiation of Major Salivary Gland Lesions
ABSTRACT Introduction: Ultrasonography (USG) plays a significant and crucial role in the diagnosis and management of salivary gland lesions and it is widely accepted as the first imaging method for assessment of major sa...
Stapled Versus Open Haemorrhoidectomy- Evaluation of Short Term Results
ABSTRACT Introduction: Haemorrhoids or ‘Piles’ is a frequently observed disease in surgical practice. Various non surgical and surgical treatments are available. Open haemorrhoidectomy (Milligan-Morgan) is a widely used...
Varied Clinical Presentations of Small Bowel Malignancies Posing Diagnostic Uncertainty and their Management
ABSTRACT Introduction: Incidence of small bowel malignancy is lower compared to other parts of gastrointestinal tract for various reasons explained in literature. Adding to it, small bowel is not an easily accessible are...
Prediction of Total Length of Humerus from its Fragments in West Bengal Population
Introduction: Reconstruction of stature from human skeletal remains has long been considered as an important medico legal challenge. In absence of other bones like cranium or pelvis, anatomical knowledge of long bone eve...