How we do it: Transoral suction diathermy adenoid ablation under direct vision using a 45 degree endoscope.
Keypoints * Adenoid ablation using suction diathermy is associated with a number of difficulties, mainly associated with the use of the mirror. Transoral and transnasal 0 degree endoscopes have also been utilised but again have limitations. We describe a technique that overcomes the above problems. * A prospective case series of patients undergoing suction diathermy adenoidectomy under direct vision using a transoral 45 degree endoscope connected to a monitor was conducted, performed by surgical trainees and under direct supervision of the consultant trainer (J.R.-J.). * Intra-operatively, trainees had to demonstrate to the trainer the appropriate anatomy, completed adenoid ablation, and haemostasis. * Fifty-six cases have been performed. In every case, it was possible for the trainer to monitor the trainee's technique throughout the entire procedure. No complications have been reported. * We describe a modified technique which overcomes the disadvantages previously encountered by conventional suction diathermy adenoid ablation.
Lo
S
S
Rowe-Jones
J
J
D000233:Adenoidectomy / Q000193:education / Q000295:instrumentation / Q000379:methods*; D000234:Adenoids / Q000473:pathology / Q000601:surgery*; D000402:Airway Obstruction / Q000601:surgery; D017115:Catheter Ablation / Q000295:instrumentation / Q000379:methods*; D002648:Child; D003253:Consultants; D003972:Diathermy / Q000295:instrumentation / Q000379:methods*; D004564:Electrocoagulation / Q000295:instrumentation; D019723:Endoscopes; D004867:Equipment Design / Q000295:instrumentation; D006801:Humans; D009305:Nasopharynx / Q000473:pathology / Q000601:surgery; D010036:Otolaryngology / Q000193:education; D011446:Prospective Studies; D013396:Suction / Q000295:instrumentation / Q000379:methods; D014068:Tonsillectomy / Q000379:methods