경비강 비내시경 하 경구강 회전식 흡입기 아데노이드 절제술

Abstract

Background and Objectives：Although there have been various methods to remove adenoid, it is still difficult to achieve completeadenoidectomy due to its unfavorable anatomic structure. The aim of this study was to introduce transoral adenoidectomyusing a microdebrider under transnasal endoscopy and to evaluate its efficacy. Materials and method：The subjects consisted of80 patients with adenoid vegetation. Among them, 40 patients underwent adenoidectomy using the microdebrider and other 40cases were performed using the adenoid curette via transoral approach. Preoperative and postoperative lateral skull radiographswere obtained and compared. Also, the amount of intraoperative bleeding, complications, postoperative symptom score, and theduration of operation were compared. Results：There were no statistical differences in the intraoperative bleeding, subjectivesymptoms after surgery and postoperative complications. But, patients, who had been performed adenoidectomy using the transoraldebrider under transnasal endoscopy, had better outcomes in the nasopharyngeal ratio and the shortest nasopharyngeal diameterin lateral skull radiographs. Conclusion：Transoral adenoidectomy using the microdebrider under transnasal endoscopy is an effectivemethod for more complete adenoidectomy.