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ISSN 2063-5346
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A Brief Overview about Adenoidectomy techniques

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Ahmad Esmat Khorshid, Naser Nageib Mohammed, Omar Abdel-Mawgoud Abdo Abdel-Hamid, Ahmed Nagy Hadhoud
» doi: 10.53555/ecb/2023.12.Si12.345

Abstract

Background: Adenoidectomy is a surgical technique used to remove the adenoid. Adenoidectomy can be done alone or frequently combined with other surgical operations (tympanostomy tube installation, tonsillectomy, etc.). Tonsillectomy was typically done with adenoidectomy over most of the 20th century. The criteria for adenoidectomy remain somewhat controversial even after over 50 years of research. Adenoidectomy is most commonly done on younger patients. Adenoid curettage : It is the most common and effective technique for adenoidectomy which involves the use of an adenoid curette. The long curved handle of the adenoid curette is perpendicular to a sharp edge. After positioning this sharp-edged blade in the nasopharynx, removing the adenoid is done by gentle curettage against the vomer and posterior pharyngeal wall. After removing the adenoid tissue, hemostasis is secured by using adrenaline or xylometazoline packing for 10 minutes or by electro-cauterization using bipolar diathermy or suction monopolar. Different curette sizes are offered based on the patient's age and to accommodate different nasopharyngeal diameters. Electro-cautery with a suction bovie: It involves shrinking or removing the adenoid by electro-cautery using a suction bovie. The bovie has a hollow center for sucking in blood or secretions and a metal contact rim for coagulation. The microdebrider is considered one of the most important innovations that have been brought into the field of rhinology. It is a cylindrical instrument that has a hollow tube with an inner and outer portion.

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