Wei L, Wang M, Hua N, Tong K, Zhai L, Wang Z
Otolaryngology Department,Affiliated Zhongshan Hospital of Dalian University,China.
Otolaryngology Department,Affiliated First Hospital of Dalian Medical University,China.
J Laryngol Otol. 2015 Jul;129(7):662-5. doi: 10.1017/S0022215115001437.
This study aimed to explore adenoid regrowth after transoral power-assisted adenoidectomy down to the pharyngobasilar fascial surface.
Transoral adenoidectomy down to the pharyngobasilar fascia surface was performed on 39 patients under endoscopic guidance, using a power-assisted system. The operation time, amount of blood loss and iatrogenic injury, presence of complications, and success and regrowth rates were recorded to assess the feasibility, safety and effectiveness of our surgical technique.
In this adenoidectomy procedure, the pharyngobasilar fascia was left intact. The estimated blood loss was 5-50 ml (mean 15 ml), and the success rate was 97.3 per cent. Early complications occurred in 2.3 per cent of patients, while no long-term complications occurred in the cohort. No regrowth was found in the follow-up assessments, which were performed for 18-36 months after surgery.
Adenoid regrowth was rare after adenoidectomy down to the pharyngobasilar fascial surface. The pharyngobasilar fascia can therefore be considered a surgical boundary for adenoidectomy.
本研究旨在探讨经口动力辅助腺样体切除术至咽颅底筋膜表面后腺样体的再生长情况。
在内镜引导下，使用动力辅助系统对39例患者进行经口腺样体切除术，直至咽颅底筋膜表面。记录手术时间、失血量和医源性损伤、并发症的发生情况以及成功率和再生长率，以评估我们手术技术的可行性、安全性和有效性。
在本次腺样体切除术中，咽颅底筋膜保持完整。估计失血量为5 - 50毫升（平均15毫升），成功率为97.3%。2.3%的患者出现早期并发症，而该队列中未出现长期并发症。术后18 - 36个月进行的随访评估中未发现再生长情况。
腺样体切除术至咽颅底筋膜表面后，腺样体再生长罕见。因此，咽颅底筋膜可被视为腺样体切除术的手术边界。
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