[Comparison among the three different approaches in the management of adenoid hypertrophy].

Abstract

OBJECTIVE:

To compare the advantage and disadvantage among Transnasal Endoscopic Adenoidectomy (TEA), Endoscopic-assisted Transnasal Adenoidectomy (ETA) and traditional Transoral Curette Adenoidectomy (TCA).

METHOD:

Clinical data of 130 cases who received adenoidectomy were studied and the effective rate of hearing, snoring, nasal obstruction, rhinorrhea and residual of adenoid were compared among the three groups after operation. There were 82 male and 48 female with average age of 7.58 years (range 3-29 years). Of 130 cases, there were 79 cases in TCA group, 24 cases in TEA group and 27 in ETA group.

RESULT:

The effective rate of nasal obstruction in ETA group was significantly higher than that in TCA group ( P < 0.05) with average following-up 21.4 months (range 6-44 months). Residual adenoid was found in 20 cases in TCA group and none in the other two groups.

CONCLUSION:

Endoscopic-assisted transnasal adenoidectomy using power system is the best approach of choice in the management of adenoid hypertrophy. Transnasal endoscopic adenoidectomy has benefit when another endoscopic sinonasal procedure is planned.

• Authors: Jianhua Qiu, Fuquan Chen, Li Qiao, Lianjun Lu, Zhihong Deng, Dingjun Zha, Weiguo Huang, Juan Xie
• Journal: Lin chuang er bi yan hou ke za zhi = Journal of clinical otorhinolaryngology (Lin Chuang Er Bi Yan Hou Ke Za Zhi) Vol. 19 Issue 8 Pg. 355-7 (Apr 2005) China
• PMID: 16075989 (Publication Type: English Abstract, Journal Article)

Topics

• Adenoidectomy (methods)
• Adenoids (pathology)
• Adolescent
• Adult
• Child
• Endoscopy
• Female
• Follow-Up Studies
• Humans
• Hypertrophy (surgery)
• Male