[Comparison among the three different approaches in the management of adenoid hypertrophy].
OBJECTIVE
To compare the advantage and disadvantage among Transnasal Endoscopic Adenoidectomy (TEA), Endoscopic-assisted Transnasal Adenoidectomy (ETA) and traditional Transoral Curette Adenoidectomy (TCA).


METHODS
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.


RESULTS
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.


CONCLUSIONS
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.
Qiu
Jianhua
J
Department of Otolaryngology, Xijing Hospital of the Fourth Military Medical University, Xi'an 710032, China. qiujh@fmmu.edu.cn
Chen
Fuquan
F
Qiao
Li
L
Lu
Lianjun
L
Deng
Zhihong
Z
Zha
Dingjun
D
Huang
Weiguo
W
Xie
Juan
J
D000233:Adenoidectomy / Q000379:methods*; D000234:Adenoids / Q000473:pathology*; D000293:Adolescent; D000328:Adult; D002648:Child; D004724:Endoscopy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006984:Hypertrophy / Q000601:surgery; D008297:Male