The contemporary surgical treatment of hypertrophied adenoids at children

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.