Assessment of middle ear function after conventional or endoscopic microdebrider assisted adenoidectomy.

IF 2.1 4区医学 Q2 OTORHINOLARYNGOLOGY

Acta Otorhinolaryngologica Italica Pub Date : 2023-12-01 Epub Date: 2023-10-10 DOI:10.14639/0392-100X-N2593

Oj Giri, S Vijendra Shenoy, Navya Parvathareddy, Praneetha Puvvula, Deeksha Shetty, Nayanika Reddy

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引用次数: 0

Abstract

Objectives: To compare pre- and post-operative pure tone audiometric and impedance audiometric analysis following conventional and endoscopic microdebrider assisted adenoidectomy and compare the outcomes.

Methods: Patients diagnosed with chronic adenoiditis were divided in groups of 25 each. Patients in the first group underwent conventional curettage adenoidectomy, while those in second group underwent endoscopic microdebrider assisted adenoidectomy. Pre- and post-operative pure tone and impedance audiometry were performed for all patients and outcomes were compared.

Results: The endoscopic microdebrider assisted method resulted in significantly better outcomes compared to conventional curettage. Criteria such as hearing threshold (p value 0.004 at second follow-up), peak pressure (p value 0.045 at first follow-up) and tympanogram (p value 0.016) showed that the endoscopic method was better, while peak compliance (p value 0.340 at first follow-up) did not show any significant difference between groups.

Conclusions: The endoscopic microdebrider assisted method for adenoidectomy has a definite advantage of better visualisation resulting in better clearance of tissue, leading to enhanced middle ear function compared to conventional curettage.

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常规或内窥镜微型ebrider辅助腺样体切除术后中耳功能评估。

目的：比较常规和内窥镜微创辅助腺样体切除术前后纯音听力和阻抗听力分析，并比较结果。方法：将诊断为慢性腺样体炎的患者分为25组。第一组患者接受了传统的刮除腺样体切除术，而第二组患者则接受了内窥镜微创辅助腺样体摘除术。对所有患者进行术前和术后纯音和阻抗测听，并比较结果。结果：与传统刮宫术相比，内窥镜微创刮宫术的效果明显更好。听力阈值（第二次随访时p值为0.004）、峰值压力（第一次随访时p值为0.045）和鼓室图（p值为0.016）等标准表明内镜方法更好，而峰值依从性（第一次跟进时p值0.340）在各组之间没有显着差异。结论：与传统刮宫术相比，内窥镜微型ebrider辅助腺样体切除术具有更好的可视化效果，可以更好地清除组织，从而增强中耳功能。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Otorhinolaryngologica Italica OTORHINOLARYNGOLOGY-

CiteScore

3.40

自引率

10.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Acta Otorhinolaryngologica Italica first appeared as “Annali di Laringologia Otologia e Faringologia” and was founded in 1901 by Giulio Masini. It is the official publication of the Italian Hospital Otology Association (A.O.O.I.) and, since 1976, also of the Società Italiana di Otorinolaringoiatria e Chirurgia Cervico-Facciale (S.I.O.Ch.C.-F.). The journal publishes original articles (clinical trials, cohort studies, case-control studies, cross-sectional surveys, and diagnostic test assessments) of interest in the field of otorhinolaryngology as well as clinical techniques and technology (a short report of unique or original methods for surgical techniques, medical management or new devices or technology), editorials (including editorial guests – special contribution) and letters to the Editor-in-Chief. Articles concerning science investigations and well prepared systematic reviews (including meta-analyses) on themes related to basic science, clinical otorhinolaryngology and head and neck surgery have high priority.