Transoral Endoscopic Adenoidectomy with the Microdebrider.
- Author:
Chan RHYOO
1
;
Sung Shik KIM
;
Jin Ha JUN
;
Han Seung LIM
;
Moon Sook KIM
Author Information
1. Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic Univerty of Korea, Seoul, Korea. crhyoo@djsungmo.com
- Publication Type:Original Article ; Randomized Controlled Trial
- Keywords:
Transoral;
Endoscopic adenoidectomy;
Microdebrider
- MeSH:
Adenoidectomy*;
Hemorrhage;
Humans;
Mouth Breathing;
Nasal Obstruction;
Postoperative Complications;
Prospective Studies;
Skull;
Snoring
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2000;43(12):1346-1349
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES: Surgeons have tried various methods of adenoidectomy from the conventional transoral ad- enoidectomy using curettes or adenotomes to the newly developed transnasal endoscopic adenoidectomy using microdebriders. However, surgeons still face a great difficulty in achieving complete adenoidectomy due to the unfavorable anatomic structure and a narrow operating field. This study aims to introduce and try to establish a better way of performing transoral endoscopic adenoidectomy using microdebriders. MATERIALS AND METHODS: Thirty patients who underwent transoral endoscopic adenoidectomy using rnicrodebriders were prospectively randomized. Skull lateral radiographs and endoscopic photographs were obtained to analyze the surgical outcome of transoral endoscopic adenoidectomy using a microdebrider. RESULTS: There were no specific postoperative complications such as hemorrhage or infection. Nasal obstruction disappeared within 7 postoperative days, and mouth breathing and snoring were simultaneously improved. CONCLUSION: Transoral endoscopic adenoidectomy using a microdebrider can be considered as one of the most effective methods for more complete adenoidectomy to relieve nasal obstruction and to reduce mouth breathing and snoring.
