Adenoiditis surgery

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Adenoiditis Microchapters

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Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Adenoiditis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Criteria

History and Symptoms

Physical Examination

Laboratory Findings

X Ray

CT

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mahshid Mir, M.D. [2]

Overview

Surgery is not the first-line treatment option for patients with adenoiditis. Adenoidectomy is usually reserved for patients with chronic persistent adenoiditis whom developed adenoid hypertrophy.

Surgery

In case of adenoid hypertrophy, adenoidectomy may be performed to remove the adenoid. Adenoidectomy has been shown to be effective independent of the size of the adenoids.[1]

Adenoidectomy methods

  • Adenoid curette guided by an indirect trans oral mirror and a headlight
  • Electrocautery adenoidectomy[2]
  • Curved suction electrical coagulator[3]
  • Curved microdebrider shaver transorally  guided by a transoral indirect mirror or a 45-degree endoscope[4]
  • Endoscopic-guided adenoidectomy using a classic adenoid curette[5]

References

  1. El-Badrawy A, Abdel-Aziz M (2009). "Transoral endoscopic adenoidectomy". Int J Otolaryngol. 2009: 949315. doi:10.1155/2009/949315. PMC 2809357. PMID 20111586.
  2. Elluru RG, Johnson L, Myer CM (2002). "Electrocautery adenoidectomy compared with curettage and power-assisted methods". Laryngoscope. 112 (8 Pt 2 Suppl 100): 23–5. doi:10.1002/lary.5541121409. PMID 12172234.
  3. Stanislaw P, Koltai PJ, Feustel PJ (2000). "Comparison of power-assisted adenoidectomy vs adenoid curette adenoidectomy". Arch. Otolaryngol. Head Neck Surg. 126 (7): 845–9. PMID 10888996.
  4. Koltai PJ, Chan J, Younes A (2002). "Power-assisted adenoidectomy: total and partial resection". Laryngoscope. 112 (8 Pt 2 Suppl 100): 29–31. PMID 12172236.
  5. Wan YM, Wong KC, Ma KH (2005). "Endoscopic-guided adenoidectomy using a classic adenoid curette: a simple way to improve adenoidectomy". Hong Kong Med J. 11 (1): 42–4. PMID 15687515.

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