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Year : 2017  |  Volume : 33  |  Issue : 1  |  Page : 24-30

The value of endoscopic examination at the end of conventional adenoidectomy

Department of Otorhinolaryngology, Faculty of Medicine, Cairo University, Cairo, Egypt

Correspondence Address:
Ahmad M Nassar
Department of Otorhinolaryngology, Faculty of Medicine, Cairo University, Cairo 11562
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1012-5574.199417

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Aim The aim of this study was to evaluate the value of the use of endoscopes after a conventional curettage adenoidectomy for detecting any residual adenoid tissue and to determine whether removing any residual, if present, affects the recurrence or not. Patients and methods Fifty patients were divided randomly into two equal groups. Group A underwent a conventional curettage adenoidectomy, followed by an endoscopic examination of the nasopharynx to detect and remove any residual adenoid tissue. Group B underwent a conventional curettage adenoidectomy only. Both groups were followed up for recurrence of symptomatic adenoid at fixed follow-up intervals at 10 days, 1, 3, and 6 months postoperatively. Results There was a significant difference in the rate of adenoid recurrence between both groups 6 months postoperatively. Two (8%) patients in group A and nine (36%) patients in group B developed recurrence. The P value was statistically significant at 0.04. Conclusion Endoscopic examination after a conventional adenoidectomy is a safe and essential step for complete removal of the adenoid, thus reducing the recurrence rate.

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