title: [Clinical research of transoral endoscopic adenoidectomy on the treatment of the adenoid hypertrophy children with chronic sinusitis].
abstract: OBJECTIVE
  To determine the clinical value of transoral endoscopic adenoidectomy for the pediatric sinusitis.
  
  
  METHODS
  Patients with chronic sinusitis and adenoid hypertrophy were divided into two group by undertaken with or without adenoidectomy, the operation group with 43 cases and the control group with 40 cases. Evaluation was performed in pretherapy and after 3 months therapy. Evaluation index included symptom scale for nasal obstruction and rhinorrhea, endoscopy score and CT score for chronic sinusitis.
  
  
  RESULTS
  There was a positive correlation (0.38) between the adenoid size and the symptom of nasal obstruction (P < 0.01). But there were no correlation between the adenoid size and the other index scores (P > 0.05). Whether in the operation group or the control group, all index scores in pretherapy were higher than in post-therapy (P < 0.05). After 3 month therapy, all index scores in the operation group were lower than the control group (P < 0.01). The decreased amplitude of all index scores in the the operation group were higher than the control group (P < 0.01).
  
  
  CONCLUSIONS
  Adenoidectomy combined with topical nasal treatment is one effective method for the pediatric sinusitis. Adenoidectomy play an important role in the treatment of pediatric rhinosinusitis.
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, Ningbo First Hospital, Ningbo 315010, China. entouyang@126.com
authors.forename: Tianbin
authors.initials: T
authors.lastname: Ouyang
authors.forename: Shixiong
authors.initials: S
authors.lastname: Tang
authors.forename: Jianhua
authors.initials: J
authors.lastname: Zhang
authors.forename: Yue
authors.initials: Y
authors.lastname: Wang
authors.forename: Chunlin
authors.initials: C
authors.lastname: Li
authors.forename: Yaowen
authors.initials: Y
authors.lastname: Wang
authors.forename: Xing
authors.initials: X
authors.lastname: Chen
mesh_terms: D000233:Adenoidectomy / Q000379:methods*; D000293:Adolescent; D002648:Child; D004724:Endoscopy; D005260:Female; D006801:Humans; D008297:Male; D012852:Sinusitis / Q000601:surgery*; D016896:Treatment Outcome