TO STUDY THE ROLE OF ENDOSCOPIC EVALUATION OF NASOPHARYNX AND MICRODEBRIDER ASSISTED RESIDUAL TISSUE REMOVAL FOLLOWING CONVENTIONAL ADENOIDECTOMY

Dr.Rajdeep Singh; Dr Manish Gupta

Volume : VIII, Issue : I, January - 2019

TO STUDY THE ROLE OF ENDOSCOPIC EVALUATION OF NASOPHARYNX AND MICRODEBRIDER ASSISTED RESIDUAL TISSUE REMOVAL FOLLOWING CONVENTIONAL ADENOIDECTOMY

Dr. Rajdeep Singh, Dr Manish Gupta

Abstract :

The study was aimed to evaluate endoscopically the size of residual pathology following conventional adenoidectomy and to identify the sites of residual adenoid tissue intraoperatively as well as to remove any residual tissue with microdeider which may lead to recurrence of symptoms, thus avoiding revision surgeries. Patients were followed up for 1 year to check for any post–operative complication. This work was done on 60 cases with clinical features of adenoid hypertrophy. X–Ray soft tissue nasopharynx lateral view was done according to classification given by Fujioka et al to confirm radiological findings of adenoid size. Further, it was compared with the findings of preoperative nasal endoscopy according to a scale given by Clemens and McMurray to confirm the size of adenoid. Adenoidectomy was initially performed by conventional curettage method which leads to residual tissue, intraop endoscopy was done to check the size of residual tissue according to Wang et al classification. Attempts were made to correlate the findings.