Skip to main content
The Egyptian Journal of Otolaryngology
Download PDF
  • Original article
  • Open access
  • Published:

Endoscopic evaluation of completeness of conventional curettage adenoidectomy: a single-blinded observational study

The Egyptian Journal of Otolaryngology volume 35, pages 357–360 (2019)Cite this article

Abstract

Background

Conventional curettage adenoidectomy is a blind procedure, which performed in a confined postnasal space produces surgical challenges. The aim was to examine the completeness of conventional adenoidectomy and compare it with surgeon satisfaction and to identify the need to objectively assess the residual tissue at the end of procedure.

Aim

The primary aim was to objectively assess the residual adenoid mass after curettage adenoidectomy and compare it with surgeon satisfaction using digital palpation.

Settings and design

A prospective single-blinded observational study was conducted at a tertiary care hospital between February 2015 and September 2015.

Patients and methods

A total of 45 cases that underwent conventional curettage adenoidectomy were included in the study. Intraoperative images of the postnasal space were recorded and compared with surgeon satisfaction score by a single-blinded observer.

Statistical analysis

Statistical analysis of interobserver correlation was performed using Cohen’s κ statistics using Graphpad Prism, version-6.07 (trial).

Results

The 45 cases had a mean±SD age of 8.45±2.47 years, and female to male ratio was 1.4 : 1. The kappa analysis of surgeon satisfaction in relation to the presence of residual adenoid tissue showed that the strength of agreement was worse than that expected by chance (κ=−0.383, SE=0.129).

Conclusion

The study showed that surgeon satisfaction via digital palpation alone fails to assess residual adenoid tissue, and we recommend endoscopic visualization of the nasopharynx to assess completeness of adenoidectomy.

References

  1. Dilesh M. Adenoidectomy − a historical review. Glob J Otolarngol 2017; 8:555–740.

    Google Scholar 

  2. Ungkanont K, Damrongsak S. Effect of adenoidectomy in children with complex problems of rhinosinusitis and associated diseases. Int J Pediatr Otorhinolaryngol 2004; 68:447–451.

    Article  Google Scholar 

  3. Parikh SR, Coronel M, Lee JJ, Brown SM. Validation of a new grading system for endoscopic examination of adenoid hypertrophy. Otolaryngol Head Neck Surg 2006; 135:684–687.

    Article  Google Scholar 

  4. Hellings P, Jorissen M, Ceuppens JL. The Waldeyer’s ring. Acta Otorhinolaryngol Belg 2000; 54:237–241.

    CAS  PubMed  Google Scholar 

  5. Wang DY, Clement PA, Kaufman L, Derde MP. Chronic nasal obstruction in children. A fiberscopic study. Rhinology 1995; 33:4–6.

    CAS  PubMed  Google Scholar 

  6. Mitchell RB, Kelly J. Child behavior after adenotonsillectomy for obstructive sleep apnea syndrome. Laryngoscope 2005; 115:2051–2055.

    Article  Google Scholar 

  7. Robb Peter J. Scott-Brown’s otorhinolaryngology: head and neck surgery. 7th edition. London: CRC Press; 2008. pp. 1094–1101.

    Book  Google Scholar 

  8. Guggenheim P. The adenoid problem. Arch Otolaryngol 1952; 55:146–152.

    Article  CAS  Google Scholar 

  9. Ark N, Kurtaran H, Ugur KS, Yilmaz T, Ozboduroglu AA, Mutlu C. Comparison of adenoidectomy methods: examining with digital palpation vs. visualizing the placement of the curette. Int J Pediatr Otorhinolaryngol 2010; 74:649–651.

    Article  Google Scholar 

  10. Cannon CR, Replogle WH, Schenk MP. Endoscopic-assisted adenoidectomy. Otolaryngol Head Neck Surg 1999; 121:740–744.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. B.Y.L. Nair Charitable Hospital, Mumbai, 400008, India

    Milind M. Navalakhe MBBS, MS ENT, DLO, FCPS

  2. B.K.L. Walawalkar Rural Medical College and Hospital, Chiplun, India

    Dilesh A. Mogre

Authors
  1. Milind M. Navalakhe MBBS, MS ENT, DLO, FCPS
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Dilesh A. Mogre
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Milind M. Navalakhe MBBS, MS ENT, DLO, FCPS.

Additional information

This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

Rights and permissions

This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Navalakhe, M.M., Mogre, D.A. Endoscopic evaluation of completeness of conventional curettage adenoidectomy: a single-blinded observational study. Egypt J Otolaryngol 35, 357–360 (2019). https://doi.org/10.4103/ejo.ejo_28_19

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.4103/ejo.ejo_28_19

Keywords