Abstract:
Introduction: Modern technologies make it possible to improve the quality of medical
surgery. Adenoidectomy under endoscopic control provides full view of the surgical field. This
surgical intervention gives the possibility to completely remove lymphoid tissue in the nasopharynx
with minimal traumatic effect. It also makes it possible to detect simultaneously and correct
concomitant pathologies of adjacent structures.
Purpose and objectives: Studying literature assessing the effectiveness of different types of
adenoidectomy in children.
Material and methods: The study was conducted based on available literature, published
treaties on diseases studied and materials offered by Internet service MedLine.
Results: Adenoidectomy is considered one of the most commonly performed procedures ENT
surgical world, being himself made or in combination with other procedures, the number of
interventions goes from 65 to 10000 children in the UK and from 50 to 10000 children in the
U.S.A.(van den Akker et al., 2004). Adenoidectomy, although it seems to be a very simple surgical
procedure, while not devoid of complications. Modern technologies in medicine, implemented over several years, facilitating improvement in the quality of surgery and ENT. Adenoidectomy in
endoscopic control provides full view of the field operator. It gives the possibility complete removal
of lymphoid tissue in the nasopharynx with minimal traumatic effect. Also in the nasopharyngeal
endoscopy can perform simultaneous correction pathology of adjacent structures.
This literature study was designed to evaluate the efficacy elimination adenoids transoral
endoscopic control, and not about the superiority this method over other methods. To solve this
problem we must study randomized controlled trial to compare different methods of removing
adenoids. Since adenoids has no capsule, precise removal of hypertrophied adenoids has always
been difficult to achieve with any surgical technique .
Conclusions: 1. Nasopharynx is an anatomical structure, difficult to see with the naked eye
which requires technologies and modern equipment.
2. Traditional adenoidectomy, frequently leads to relapse by virtue integral to achieving
the array of surgical children.
3. Endoscopic adenoidectomy is a surgical method of perspective ENT contemporary.
