Effectiveness of transnasal endoscopic powered adenoidectomy in patients with choanal adenoids
Received 29 April 2009; received in revised form 11 August 2009; accepted 11 August 2009.
Abstract
Objectives
To demonstrate the technique and efficacy of powered assisted adenoidectomy using nasal endoscopy.
Patients and methods
Between 2002 and 2003, forty children (age ranged from 3 to 17 years) with symptoms and signs suggestive of snoring and/or obstructive sleep apnea and choanal adenoids were randomly selected and distributed in two groups. Group A underwent transnasal endoscopic powered adenoidectomy (TEPA) and group B underwent curettage adenoidectomy (CA). Both groups underwent pre- and postoperative nasal endoscopy. Direct comparisons between the two groups were made with regards to operative time, amount of blood loss, postoperative morbidity, complications, and resolution of symptoms.
Results
Male to female distribution was equal 1:1. The mean age of both groups was 8 years. In group A, the mean blood loss was 8.2ml compared to 22.1ml in group B (p<0.05). The operative time in group A was 6.1min vs 12.3min in group B (p<0.05). There were no operative or postoperative complications in both groups. Postoperative follow up and nasal endoscopy showed no recurrence of symptoms or adenoid remnants.
Conclusion
Using TEPA for removing choanal adenoids is an adequate and safe method. The TEPA technique can be added to the armamentarium of techniques used by pediatric otolaryngologists.
aPediatric Otolaryngology, Department of Otolaryngology-Head & Neck Surgery, King Saud University & University Hospitals, Riyadh, Saudi Arabia
bDepartment of Otolaryngology-Head & Neck Surgery, Military Hospital, Riyadh, Saudi Arabia
cCollege of Medicine, King Saud bin A/Aziz University for Health Sciences, Riyadh, Saudi Arabia
Corresponding author at: Division of Pediatric Otolaryngology, Department of Otolaryngology-Head & Neck Surgery, King Abdul Aziz University Hospital, PO Box 245, Riyadh 11411, Saudi Arabia. Tel.: +966 1 477 5735; fax: +966 1 477 5748.
ABSTRACT