Rigid endoscopic evaluation of conventional curettage adenoidectomy.
OBJECTIVE
To evaluate the results of conventional adenoidectomy, using rigid endoscopy of the nasopharynx, and to establish the role of such evaluation in facilitating complete adenoid removal via the curettage technique.


METHODS
Descriptive rigid endoscopic evaluation of the nasopharynx before and after adenoid curettage, and following subsequent endoscopy-assisted adenoidectomy.


METHODS
Tertiary referral centre.


METHODS
Forty-one consecutive children with symptomatic adenoid hypertrophy scheduled to undergo adenoidectomy.


RESULTS
Rigid endoscopic evaluation indicated that conventional curettage, used alone, failed to completely remove adenoid tissue from the superomedial choanae and anterior vault in all cases; incomplete removal was also seen in other parts of the choanae (in 67.2 per cent of patients), the eustachian tube opening (63 per cent), the nasopharyngeal roof (61.78 per cent) and the fossa of Rosenmuller (61 per cent). Subsequent rigid endoscopy-assisted adenoidectomy successfully removed the residual adenoid tissue from all nasopharyngeal sites, except the eustachian tube opening in two cases.


CONCLUSIONS
Conventional curettage adenoidectomy misses a substantial amount of adenoid tissue. Rigid endoscopy-assisted adenoidectomy improves this result by enabling localisation of any residual adenoid tissue.
Department of Otolaryngology and Head and Neck Surgery, B P Koirala Institute of Health Sciences, Dharan, Nepal.
D
D
Regmi
N N
NN
Mathur
M
M
Bhattarai
D000233:Adenoidectomy / Q000295:instrumentation / Q000379:methods*; D000234:Adenoids / Q000473:pathology / Q000601:surgery; D002648:Child; D003430:Cross-Sectional Studies; D003475:Curettage / Q000379:methods*; D019723:Endoscopes; D004724:Endoscopy / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D006984:Hypertrophy / Q000601:surgery; D008297:Male; D009305:Nasopharynx / Q000473:pathology / Q000601:surgery; D019106:Postoperative Hemorrhage / Q000601:surgery*; D011300:Preoperative Care / Q000379:methods; D012086:Reoperation; D013997:Time Factors; D016896:Treatment Outcome