Endoscopic Adenoidectomy Versus Conventional Adenoidectomy in Persistant Otitis Media With Effusion in Pediatrics

Document Type : Original Article

Authors

1 Ass. Prof. of otolaryngology. Otolaryngology dept. Faculty of medicine, Minia university, Egypt

2 ENT minia university

3 Department of otorhinolaryngology , faculty of Medicine, Minia University

4 Otolaryngology Department, Faculty of Medicine, Minia University, Minia, Egypt

5 Department of Otolaryngology, faculty of medicine, Minia University

Abstract

Background: Adenoidectomy is one of the most common operations performed in pediatric population. Different techniques have been described for adenoidectomy.
Aim of the study: Prospective study to compare post-operative outcome of surgical management of patients with adenoid hypertrophy complicated by persistent otitis media with effusion (OME) by endoscopic adenoidectomy versus conventional adenoidectomy.
Patients and Methods: Sixty patients, (aged from 4 to 16 years) diagnosed as adenoid hypertrophy and persistent otitis media with effusion were randomly classified into two groups, with 30 patients in each group. Group A (endoscopic group): who had endoscopic adenoidectomy. Group B (conventional group): who had conventional adenoidectomy.
All patients had myringotomy and ventilation tubes insertion.
Results: In group (A) the mean age of subjects is 8.02 ± 3.91years. There are 17 males and 13 females. While in group B the mean age of subjects is 6.76 ± 3.21years. There are 17males and 13 females.
Endoscopic group has better significant results than conventional group regarding mean operative time, mean intraoperative blood loss, the presence of an adenoid remnant, injury of surrounding tissue and also improvement of the patients according to NOSE score.
Conclusion: Endoscopic adenoidectomy technique provides less intra-operative blood loss, less injury to the surrounding structures and less post-operative adenoid tissue remnants, also Endoscope allows good documentation, visualization, more improvement of nasal symptoms and improvement of quality of life, but endoscope is time consuming and costing. while conventional adenoidectomy has its advantages in its simplicity, low cost, and its availability in many places, but it has many disadvantages that makes endoscopic adenoidectomy is the best choice for pediatrics with adenoid hypertrophy.

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