Adenoidectomy with the Suction Electrocoagulator / 대한이비인후과학회지

ABSTRACT

BACKGROUND AND OBJECTIVES: The traditional adenoidectomy using adenotome and adenoid curette could not guarantee a clear operative field due to bleeding. Also the traditional transoral adenoidectomy was not always effective in the complete removal of adenoid tissues obstructing the choana and surrounding the eustachian tube. This study was performed to evaluate the effectiveness of using the electric suction coagulator for adenoidectomy. MATERIALS AND METHOD: This study was completed by 60 patients who underwent adenoidectomy or adenoidectomy with ventilation tube insertion. For adenoidectomy, 30 cases were performed using the variable sized suction coagulator via nasal cavity and the other 30 were performed using the adenotome and adenoid curette with oral approach. The amount of intraoperative bleeding and the duration of surgery were recorded. A preoperative and a at least one-month post operative nasal endoscopic photograph and lateral skull radiograph were obtained. RESULTS: Intraoperative bleeding amount was less and less time was needed in suction coagulator method (p<0.05). There was no statistical difference in the postoperative endoscopic grade, adenoid nasopharyngeal ratio, and the shortest nasopharyngeal diameter between two groups. The postoperative improvement of subjective symptoms was not different. CONCLUSION: Adenoidectomy using transnasal suction coagulator is an effective method for complete removal of adenoid with the advantages of excellent visualization and complete hemostasis. Especially, the authors think that this method is useful for the removal of superior part of adenoid and peritubal adenoid tissue.