Abstract:

Objective  To assess the technical points and therapeutic effects of adenoidectomy via a transnasal endoscopic approach. Methods  A total of 78 children aging from 2 to 13 years were diagnosed as having adenoidal hypertrophy, of which 71 cases were complainted with snoring, breath holding and mouth breathing, 5 had nasal congestion and runny nose and 2 had hearing loss in long-term. All the children received adenoidectomy directed by an endoscopic approach via transoral under general anesthesia. Results  The average time in surgery was 28 minutes, the average bleeding during surgery was 10 ml, but there were no primary and secondary bleeding or tubal damage. During a one-year follow-up, there was significant improvement in all the symptoms and no nasal adhesion and recurrence happened. Conclusion  Adenoidectomy directed by an endoscopic approach via transoral in combination with integrated power systems would be effective to get a clear operative field, accurate removement and complete hemostasis.

Key words: Adenoidal hypertrophy;  Adenoidectomy;  Endoscopic surgical procedures, operative；  Integrated power system