COMPLICATIONS OF TRANSORAL ENDONASAL-CONTROLLED COMBINED ENDOSCOPIC ADENOIDECTOMY

IF 0.2 Q4 OTORHINOLARYNGOLOGY
Sami Engin Muz, Mahmut Huntürk Atilla
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引用次数: 0

Abstract

Objective: The purpose of this study was to observe and evaluate the possible complications of Transoral Endona-sal-Controlled Combined Endoscopic Adenoidectomy (TECCA) as a subtype of power-assisted endoscopic adenoidectomy (PAEA) in pediatric patients. Methods: Sixty-seven children aged between 2 and 12 years who had been diagnosed with adenoid hypertrophy and underwent TECCA from April 2013 to December 2016 as a single procedure (without myringotomy or any kind of tonsil surgery at the same time) were included. Preoperative risk assessment results and intraoperative and post-operative complications were evaluated. Results: Intraoperative and early post-operative bleeding was observed in four (5.97%) patients. There was no post-operative complication except for bleeding and no patients were found to have residual adenoid tissue during the six-month post-operative follow-up period. Conclusion: Endonasal endoscopic control during adenoidectomy helps to identify vascular structures that would normally be at risk of being injured with blind resection. Endoscopic viewing also enables complete removal of intranasal adenoid tissue without significant prolongation in operation time.
经口鼻内控制联合内镜腺样体切除术的并发症
目的:本研究的目的是观察和评估儿童经口内镜控制联合内镜腺样体切除术(TECCA)作为动力辅助内镜腺样切除术(PAEA)的一种亚型可能出现的并发症。方法:纳入67名年龄在2至12岁之间的儿童,他们被诊断为腺样体肥大,并于2013年4月至2016年12月接受了TECCA单次手术(同时不进行鼓膜切开术或任何类型的扁桃体手术)。评估术前风险评估结果以及术中和术后并发症。结果:4例(5.97%)患者术中及术后早期出血。除了出血外,没有任何术后并发症,在术后六个月的随访期间,没有发现任何患者有残留的腺样体组织。结论:腺样体切除术期间的鼻内窥镜控制有助于识别盲切除术中通常有受伤风险的血管结构。内窥镜检查还可以完全去除鼻内腺样体组织,而不会显著延长手术时间。
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
ENT Updates
ENT Updates OTORHINOLARYNGOLOGY-
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