Combined Transoral Conventional and Endoscopic Adenoidectomy

Abstract

Objective: The aim of the study was to evaluate the efficacy of combined approach of conventional and endoscopic transnasal adenoidectomy (CCEA). Methods: Between January 1997 and December 2001, 105 children with adenoid vegetation were enrolled in the study. The patients all suffered from chronic nasal obstruction. Under 90° endoscopic guidence, the patients underwent adenoidectomy using an appropriate adenoid curette transorally and the residual adenoid tissue surrounding choana sill and torus tubarius was removed with a cup forceps transnasally under the guidance of 0° or 30° endoscope. All patients received a nasoendoscopic examination and skull lateral radiography 3 months after surgery. Results: None of the 105 patients had post-operative nasopharyngeal hemorrhage. Nasal obstruction was relieved in all the105 patients 2 weeks after surgery. Conclusions: The combined approach of conventional and transnasal endoscopic adenoidectomy is effective at removing the adenoid tissue, including adenoid tissue surrounding choana sill and torus tubarius. Furthermore, it provides a better option for prevention of complication than the conventional adenoidectomy.