Bross SD, Schimelmitz IJ

Language: Spanish
References: 12
Page: 99-103
PDF size: 976.16 Kb.

ABSTRACT

Background: Adenoidectomy is one of the most common procedures performed by an otolaryngologist. A number of different techniques for this purpose have been described and among them is endoscopic adenoidectomy, designed to improve surgical results as well as to lower complication rates. Objective: To show the advantages of endoscopic (0^o, 2.7 mm) adenoidectomy over traditional techniques, based on the results from the present study. Material and methods: A prospective, descriptive and longitudinal study was conducted from January 2004 through May 2013. A total of 500 patients with full indication of adenoidectomy with adenoid hypertrophy were included in the study. An adenoidectomy with transnasal endoscopy with microdebrider was performed on all patients. Absence of adenoid remnants, non-obstruction of the Eustachian tube, complete hemostasis, avoidance of injury to nearby anatomic structures and absence of transoperative bleeding was documented through digital recordings. Results: Hyperplasia of lymphoid tissue in one adult patient, transoperative massive bleeding with cauterization of the upper adenoid bed in one patient. Non of the patients had postoperative bleeding. Conclusions: Endoscopic adenoidectomy offers a safe surgical alternative with adequate visualization of the surgical field. It has proven to result in lower complication rates although its cost might limit its use.

REFERENCES

1. http://www.emedicine.com/ent/topic316.htm [Consulta: 15 de febrero de 2014]

2. Rojas-Khek S, Tolentino C, Santana H et al. Endoscopic adenoidectomy with microdebrider. International Congress Series. 2003; 1257: 193-194.

3. Bross-Soriano D, Schimelmitz-Idi J, Arrieta-Gómez J. Adenoidectomía endoscópica ¿uso o abuso de la tecnologia? Cir Ciruj. 2004; 72: 15-19.

4. Cannon R, Replogle W, Schenk M. Endoscopic-assisted adenoidectomy. Otolaryngol Head Neck Surg. 1999; 121: 740-744.

5. Schaffer S, Yoskovitch A. Transoral endoscopic adenoidectomy. Otolaryngol Head Neck Surg. 1997; 8: 52-55.

6. Nayak DR, Balakrishnan R, Adolph S. Endoscopic adenoidectomy in a case of Scheie syndrome (MPS I S). Int J Pediatr Otorhinolaryngol. 1998; 44: 177-181.

7. Sten Y, Segal K, Yaniv E. Endoscopic adenoidectomy in children with submucosal cleft palate. Int J Pediatr Otorhinolaryngol. 2006; 70: 1871-1874.

8. Askar SM, Quriba AS. Powered instrumentation for transnasal endoscopic partial adenoidectomy in children with submucosal cleft palate. Int J Pediatric Otorinolaryngol. 2014; 78 (2): 317-322.

9. Hamed A. Endoscopic adenoidectomy in adults. Scientific Posters. Otolaryngol Head Neck Surg. 2013; 129: 182.

10. Rusetkii IL, Lopatin AS, Chernystensko IO, Sedykh TK. The evolution of adenoidectomy. Vestn Otorinolaryngol. 2013; (4): 23-26.

11. Zaine V. Conventional curettage adenoidectomy versus endoscopic assisted adenoidectomy. Maedica (Buchar) 2011; 6 (4): 328-329.

12. Li Y, Li P. The effect of adenoidectomy in different operative methods on the function of the Eustachian tube. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2012; 26 (10): 466-467.