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Endoscopic examination after adenoidectomy: is it necessary?


Adenoidectomy is a safe and straightforward surgical procedure with clear indications. Traditionally, adenoidectomy is performed using a curette. The main disadvantage of this method is that it is a relatively blind technique. The aim of this study was to assess the efficacy of endoscopic nasopharyngeal examination at the end of curettage adenoidectomy in terms of both subjective and objective relief of nasal symptoms. A total of 110 patients were included is this study and divided randomly into two equal groups during the operation. Patients in group A underwent conventional curettage adenoidectomy and those in group B were further subjected to nasopharyngeal endoscopic examination at the end of the operation. After 18 months, 21.1% of patients in group A and 14% in group B complained of nasal obstruction. Moreover, on endoscopy, 13.4% of patients in group A and 8% in group B showed remaining adenoid tissue. Hence, nasopharyngeal endoscopic examination at the end of conventional curettage adenoidectomy is an easy method to detect and remove remnant adenoid tissue with minimal extra cost and operative time.


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Correspondence to Nader Naguib MD.

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Naguib, N. Endoscopic examination after adenoidectomy: is it necessary?. Egypt J Otolaryngol 29, 76–79 (2013).

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