Yıldırım Yavuz Selim, Apuhan Tayfun, Aksoy Fadlullah, Veyseller Bayram, Ozturan Orhan
Department of Otorhinolaryngology and Head and Neck Surgery, Elbistan State Hospital, 46300 Karaelbistan, Kahramanmaras Turkey.
Department of Otolaryngology, Faculty of Izzet Baysal Medicine, Abant Izzet Baysal University, Bolu, Turkey.
Indian J Otolaryngol Head Neck Surg. 2014 Jan;66(Suppl 1):257-60. doi: 10.1007/s12070-011-0467-4. Epub 2012 Jan 6.
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.
本研究旨在调查传统腺样体切除术后残留腺样体组织的量，并与术前值进行比较。共有32名女孩和44名男孩（年龄范围3 - 15岁）纳入本研究，这些患儿计划接受腺样体切除术。通过经鼻内镜检查测量腺样体切除术前腺样体组织大小和传统刮除术腺样体切除术后残留组织大小，并进行记录。比较腺样体切除术前和术后的腺样体组织大小。患者的平均年龄为7.7岁（年龄范围3 - 15岁）。腺样体切除术前，43.4%（n = 33）的患者腺样体组织为4级，28.9%（n = 22）为3级，25%（n = 19）为2级，2.6%（n = 2）为1级。腺样体切除术后，4级和3级患者的残留腺样体组织大小无显著差异（P = 0.75，P = 0.76）。经鼻内镜检查被认为是评估传统刮除术腺样体切除术后残留腺样体组织量的最合适方法。对于位于后鼻孔的大量残留腺样体组织，借助微型切割器切除残留腺样体组织对于彻底切除腺样体是必要的。
