Abstract：
OBJECTIVES:To objectively assess the effectiveness of endoscopy assisted adenoidectomy utilizing adenoid tissue volume measurement and to set some parameters for which patients are more legible to this procedure. METHODS:Forty three patients for whom adenoidectomy was conventionally done using adenoid curettes. Surgeon's satisfaction for adenoid removal after curettage and digital palpation was reported. The volume of removed adenoidal tissue was measured. The remaining adenoid tissue, if any, was removed transnasally guided by endoscope. Residual adenoid volume was also was measured. The data was tabulated and statistically analyzed. RESULTS:The volume of adenoid removed by curettage ranged from 1 to 3.6 ml with a mean of 2.45 ml. The volume of residual adenoid removed by endoscopy after curettage ranged from 0 to 2.9 ml (mean: 0.67 ± 0.58 ml). The volume of residual adenoid after blind curettage was found to have statistically significant relation to older age of patients, preoperative larger adenoid by X-ray and Surgeon's dissatisfaction about the completeness of removal after curettage. CONCLUSION:Conventional curettage adenoidectomy misses a substantial volume of adenoid tissue. Endoscopy-assisted adenoidectomy is significantly recommended in children age >10 years, dissatisfied surgeon after curettage and palpation, and grade 3 adenoid enlargement on X-ray.
journal_name
Int J Pediatr Otorhinolaryngoljournal_title
International journal of pediatric otorhinolaryngologyauthors
Elnashar I,El-Anwar MW,Basha WM,AlShawadfy Mdoi
10.1016/j.ijporl.2014.04.031subject
Has Abstractpub_date
2014-08-01 00:00:00pages
1239-42issue
8eissn
0165-5876issn
1872-8464pii
S0165-5876(14)00243-2journal_volume
78pub_type
杂志文章abstract：OBJECTIVES:Sudden sensorineural hearing loss (SSNHL) is relatively rare and its physiopathology remains unclear, particularly in children. Our goal was to evaluate clinical characteristics, etiologies, management, treatment outcomes and prognostic factors in the pediatric population. METHODS:We performed a retrospecti...
journal_title：International journal of pediatric otorhinolaryngology
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journal_title：International journal of pediatric otorhinolaryngology
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journal_title：International journal of pediatric otorhinolaryngology
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journal_title：International journal of pediatric otorhinolaryngology
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journal_title：International journal of pediatric otorhinolaryngology
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journal_title：International journal of pediatric otorhinolaryngology
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journal_title：International journal of pediatric otorhinolaryngology
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journal_title：International journal of pediatric otorhinolaryngology
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journal_title：International journal of pediatric otorhinolaryngology
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pub_type： 杂志文章,评审
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journal_title：International journal of pediatric otorhinolaryngology
pub_type： 杂志文章
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pub_type： 杂志文章,评审
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pub_type： 杂志文章,随机对照试验
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更新日期：2018-05-01 00:00:00
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journal_title：International journal of pediatric otorhinolaryngology
pub_type： 杂志文章,多中心研究
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更新日期：2019-08-01 00:00:00
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journal_title：International journal of pediatric otorhinolaryngology
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journal_title：International journal of pediatric otorhinolaryngology
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