Adenoiditis surgery: Difference between revisions
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==Overview== | ==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 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 == | == 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.<ref name="pmid20111586">{{cite journal |vauthors=El-Badrawy A, Abdel-Aziz M |title=Transoral endoscopic adenoidectomy |journal=Int J Otolaryngol |volume=2009 |issue= |pages=949315 |year=2009 |pmid=20111586 |pmc=2809357 |doi=10.1155/2009/949315 |url=}}</ref> | 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.<ref name="pmid20111586">{{cite journal |vauthors=El-Badrawy A, Abdel-Aziz M |title=Transoral endoscopic adenoidectomy |journal=Int J Otolaryngol |volume=2009 |issue= |pages=949315 |year=2009 |pmid=20111586 |pmc=2809357 |doi=10.1155/2009/949315 |url=}}</ref> | ||
=== adenoidectomy methods === | === adenoidectomy methods === | ||
* Adenoid [[curette]] guided by an indirect transoral mirror and a headlight; it used to be the most common one but has a high risk of recurrence unless done by a well-experienced surgeon | * Adenoid [[curette]] guided by an indirect transoral mirror and a headlight; it used to be the most common one but has a high risk of recurrence unless done by a well-experienced surgeon | ||
* Electrocautery adenoidectomy<ref name="pmid12172234">{{cite journal |vauthors=Elluru RG, Johnson L, Myer CM |title=Electrocautery adenoidectomy compared with curettage and power-assisted methods |journal=Laryngoscope |volume=112 |issue=8 Pt 2 Suppl 100 |pages=23–5 |year=2002 |pmid=12172234 |doi=10.1002/lary.5541121409 |url=}}</ref> | * Electrocautery adenoidectomy<ref name="pmid12172234">{{cite journal |vauthors=Elluru RG, Johnson L, Myer CM |title=Electrocautery adenoidectomy compared with curettage and power-assisted methods |journal=Laryngoscope |volume=112 |issue=8 Pt 2 Suppl 100 |pages=23–5 |year=2002 |pmid=12172234 |doi=10.1002/lary.5541121409 |url=}}</ref> | ||
* Curved suction electrical coagulator<ref name="pmid10888996">{{cite journal |vauthors=Stanislaw P, Koltai PJ, Feustel PJ |title=Comparison of power-assisted adenoidectomy vs adenoid curette adenoidectomy |journal=Arch. Otolaryngol. Head Neck Surg. |volume=126 |issue=7 |pages=845–9 |year=2000 |pmid=10888996 |doi= |url=}}</ref> | * Curved [[suction]] electrical coagulator<ref name="pmid10888996">{{cite journal |vauthors=Stanislaw P, Koltai PJ, Feustel PJ |title=Comparison of power-assisted adenoidectomy vs adenoid curette adenoidectomy |journal=Arch. Otolaryngol. Head Neck Surg. |volume=126 |issue=7 |pages=845–9 |year=2000 |pmid=10888996 |doi= |url=}}</ref> | ||
* Curved microdebrider shaver transorally guided by a transoral indirect mirror or a 45-degree endoscope<ref name="pmid121722362">{{cite journal |vauthors=Koltai PJ, Chan J, Younes A |title=Power-assisted adenoidectomy: total and partial resection |journal=Laryngoscope |volume=112 |issue=8 Pt 2 Suppl 100 |pages=29–31 |year=2002 |pmid=12172236 |doi= |url=}}</ref> | * Curved microdebrider shaver transorally guided by a transoral indirect mirror or a 45-degree endoscope<ref name="pmid121722362">{{cite journal |vauthors=Koltai PJ, Chan J, Younes A |title=Power-assisted adenoidectomy: total and partial resection |journal=Laryngoscope |volume=112 |issue=8 Pt 2 Suppl 100 |pages=29–31 |year=2002 |pmid=12172236 |doi= |url=}}</ref> | ||
* Endoscopic-guided adenoidectomy using a classic adenoid curette.<ref name="pmid15687515">{{cite journal |vauthors=Wan YM, Wong KC, Ma KH |title=Endoscopic-guided adenoidectomy using a classic adenoid curette: a simple way to improve adenoidectomy |journal=Hong Kong Med J |volume=11 |issue=1 |pages=42–4 |year=2005 |pmid=15687515 |doi= |url=}}</ref> | * Endoscopic-guided [[adenoidectomy]] using a classic adenoid curette.<ref name="pmid15687515">{{cite journal |vauthors=Wan YM, Wong KC, Ma KH |title=Endoscopic-guided adenoidectomy using a classic adenoid curette: a simple way to improve adenoidectomy |journal=Hong Kong Med J |volume=11 |issue=1 |pages=42–4 |year=2005 |pmid=15687515 |doi= |url=}}</ref> | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 14:40, 2 June 2017
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Adenoiditis Microchapters |
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Diagnosis |
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Treatment |
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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 transoral mirror and a headlight; it used to be the most common one but has a high risk of recurrence unless done by a well-experienced surgeon
- 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
- ↑ El-Badrawy A, Abdel-Aziz M (2009). "Transoral endoscopic adenoidectomy". Int J Otolaryngol. 2009: 949315. doi:10.1155/2009/949315. PMC 2809357. PMID 20111586.
- ↑ 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.
- ↑ 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.
- ↑ 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.
- ↑ 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.