Complications of transoral endonasal-controlled combined endoscopic adenoidectomy

Yıl 2020, , 390 - 395, 30.12.2020

Sami Muz Mahmut Huntürk Atilla

https://doi.org/10.32448/entupdates.798459

Öz

Objectives: The purpose of this study was to observe and evaluate the possible complications of Transoral Endonasal-Controlled Combined Endoscopic Adenoidectomy (TECCA) as a subtype of power-assisted endoscopic adenoidectomy (PAEA) in pediatric patients.
Methods: Sixty-seven children aged between 2 and 12 years who had been diagnosed with adenoid hypertrophy and underwent TECCA from April 2013 to December 2016 as a single procedure (without myringotomy or any kind of tonsil surgery at the same time) were included. Preoperative risk assessment results and intraoperative and post-operative complications were evaluated.
Results: Intraoperative and early post-operative bleeding was observed in four (5.97%) patients. There was no post-operative complication except for bleeding and no patients were found to have residual adenoid tissue during the six-month post-operative follow-up period.
Conclusion: Endonasal endoscopic control during adenoidectomy helps to identify vascular structures that would normally be at risk of being injured with blind resection. Endoscopic viewing also enables complete removal of intranasal adenoid tissue without significant prolongation in operation time.

Anahtar Kelimeler

Adenoidectomy, Endoscopy, Complications

Kaynakça

• 1. Di Rienzo Businco L, Angelone AM, Mattei A, Ventura L, Lauriello M. Paediatric adenoidectomy: endoscopic coblation technique compared to cold curettage. Acta Otorhinolaryngol Ital 2012;32:124-9.
• 2. Regmi D, Mathur NN, Bhattarai M. Rigid endoscopic evaluation of conventional curettage adenoidectomy. J Laryngol Otol 2011;125:53-8.
• 3. Pagella F, Pusateri A, Canzi P, et al. The evolution of the adenoidectomy: analysis of different power-assisted techniques. Int J Immunopathol Pharmacol 2011;24:55-9.
• 4. Öztürk Ö, Polat Ş. Comparison of transoral power-assisted endoscopic adenoidectomy to curettage adenoidectomy. Adv Ther 2012;29:708-21.
• 5. Yang L, Shan Y, Wang S, Cai C, Zhang H. Endoscopic assisted adenoidectomy versus conventional curettage adenoidectomy: a meta-analysis of randomized controlled trials. Springerplus 2016;5:426.
• 6. Havas T, Lowinger D. Obstructive adenoid tissue: an indication for powered-shaver adenoidectomy. Arch Otolaryngol Head Neck Surg 2002;128:789-91.
• 7. Schupper AJ, Nation J, Pransky S. Adenoidectomy in Children: What Is the Evidence and What Is its Role? Curr Otorhinolaryngol Rep 2018;6:64-73.
• 8. Pagella F, Pusateri A, Canzi P, et al. The evolution of the adenoidectomy: analysis of different power-assisted techniques. Int J Immunopathol Pharmacol 2011;24:55-9.
• 9. Costantini F, Salamanca F, Amaina T, Zibordi F. Videoendoscopic adenoidectomy with microdebrider. Acta Otorhinolaryngol Ital 2008;28:26-9.
• 10. Saibene AM, Rosso C, Pipolo C, et al. Endoscopic adenoidectomy: a systematic analysis of outcomes and complications in 1006 patients. Acta Otorhinolaryngol Ital 2020;40:79-86.
• 11. Anand V, Sarin V, Singh B. Changing Trends in Adenoidectomy. Indian J Otolaryngol Head Neck Surg 2014;66:375-80.
• 12. Stanislaw P Jr, Koltai PJ, Feustel PJ. Comparison of power-assisted adenoidectomy vs adenoid curette adenoidectomy. Arch Otolaryngol Head Neck Surg 2000;126:845-9.
• 13. Somani SS, Naik CS, Bangad SV. Endoscopic adenoidectomy with microdebrider. Indian J Otolaryngol Head Neck Surg 2010;62:427-31.
• 14. Rodriguez K, Murray N, Guarisco JL. Power-assisted partial adenoidectomy. Laryngoscope 2002;112:26-8.
• 15. Elnashar I, El-Anwar MW, Basha WM, AlShawadfy M. Objective assessment of endoscopy assisted adenoidectomy. Int J Pediatr Otorhinolaryngol 2014;78:1239-42.
• 16. Songu M, Altay C, Adibelli ZH, Adibelli H. Endoscopic-assisted versus curettage adenoidectomy: a prospective, randomized, double-blind study with objective outcome measures. Laryngoscope 2010;120:1895-9.