Costantini F, Salamanca F, Amaina T, Zibordi F
Otorhinolaryngology Unit, "S. Pio X" Clinic, Milan, Italy.
Acta Otorhinolaryngol Ital. 2008 Feb;28(1):26-9.
After evaluating approaches proposed, over the last few years, by several Authors, to make the procedure of adenoidectomy safer and more accurate, we have developed a new procedure based on the combined use of a rigid 70 degrees endoscope with a video attachment and a microdebrider, both introduced through the oral cavity. This procedure offers several advantages: an improved field of vision, continuous suction of blood, and extreme precision in removing the adenoid tissue. Compared with current practices which employ the adenotome or curette, it is possible with our approach to remove adenoid tissue in the most important centres: the choanal and tubaric regions. The validity and safety of this videoendoscopic adenoidectomy with microdebrider has been demonstrated in 201 patients.
在评估了多位作者在过去几年中提出的使腺样体切除术更安全、更精确的方法后，我们开发了一种新的手术方法，该方法基于联合使用带有视频附件的70度硬质内窥镜和微型切割器，二者均通过口腔插入。该手术方法具有多个优点：视野改善、持续吸血以及在切除腺样体组织时具有极高的精准度。与目前使用腺样体刀或刮匙的做法相比，采用我们的方法能够在最重要的部位：后鼻孔和咽鼓管区域切除腺样体组织。201例患者已证明了这种带微型切割器的视频内窥镜腺样体切除术的有效性和安全性。
