title: Is transnasal endoscopic examination necessary before and after adenoidectomy?
abstract: The present study aimed to investigate the amount of residual adenoid tissue following the conventional adenoidectomy as compared with preoperative values. A total of 32 girls and 44 boys (range, 3-15 years) in whom adenoidectomy procedure was planned were included in the study. Adenoid tissue sizes before adenoidectomy and residual tissue sizes after conventional curettage adenoidectomy were measured by transnasal endoscopic examination and were recorded. Adenoid tissue size before and after adenoidectomy was compared. The mean age of the patients was 7.7 years (range, 3-15 years). Before adenoidectomy grade 4 adenoid tissue was noted in 43.4% (n = 33), grade 3 was noted in 28.9% (n = 22), grade 2 was noted in 25% (n = 19), and grade 1 was noted in 2.6% (n = 2) of the patients. Following adenoidectomy, no significant difference was noted with respect to residual adenoid tissue sizes of grade 4 and grade 3 patients (P = 0.75, P = 0.76). Transnasal endoscopic examination is suggested to be the most appropriate method to assess the amount of residual adenoid tissue after conventional curettage adenoidectomy. The residual adenoid tissue with the help of a microdebrider in case of a large residual adenoid tissue located in the choana are necessary for complete adenoidectomy.
authors.affiliation: Department of Otorhinolaryngology and Head and Neck Surgery, Elbistan State Hospital, 46300 Karaelbistan, Kahramanmaras Turkey.
authors.forename: Yavuz Selim
authors.initials: YS
authors.lastname: Yıldırım
authors.affiliation: Department of Otolaryngology, Faculty of Izzet Baysal Medicine, Abant Izzet Baysal University, Bolu, Turkey.
authors.forename: Tayfun
authors.initials: T
authors.lastname: Apuhan
authors.affiliation: Department of Otorhinolaryngology and Head and Neck Surgery, Medical Faculty, Bezmialem Vakif University, Istanbul, Turkey.
authors.forename: Fadlullah
authors.initials: F
authors.lastname: Aksoy
authors.affiliation: Department of Otorhinolaryngology and Head and Neck Surgery, Medical Faculty, Bezmialem Vakif University, Istanbul, Turkey.
authors.forename: Bayram
authors.initials: B
authors.lastname: Veyseller
authors.affiliation: Department of Otorhinolaryngology and Head and Neck Surgery, Medical Faculty, Bezmialem Vakif University, Istanbul, Turkey.
authors.forename: Orhan
authors.initials: O
authors.lastname: Ozturan
keywords: Adenoid; Adenoidectomy; Nasal fiberoptic endoscopy