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Residual adenoid tissue post‐curettage: role of nasopharyngoscopy in adenoidectomy
Author(s) -
Saxby Alex J.,
Chappel Clive A.
Publication year - 2009
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/j.1445-2197.2009.05106.x
Subject(s) - adenoidectomy , adenoid , medicine , curette , curettage , adenoid hypertrophy , surgery , tonsillectomy
Objective: Curettage adenoidectomy is one of the most common methods of adenoidectomy. This study reports the incidence of residual adenoid tissue after curettage and grades the degree of post‐nasal space obstruction using fibre‐optic nasopharyngoscopy. Methods: A retrospective study of 425 consecutive patients undergoing curette adenoidectomy in a 5‐year period. Results: Of the 425 patients, 288 (68%) had some residual adenoid tissue evident with nasopharyngoscopy, of which 104 (24%) had significant obstruction (grade 2 or 3). No age or sex difference was found in the likelihood or severity of residual adenoid tissue. Conclusions: A significant proportion of patients will have residual adenoid tissue following curette adenoidectomy alone. Nasopharyngoscopy permits a more complete resection in a cost‐effective, quick and easily performed additional step.