Attempt at endoscopic laser surgery for adenoidectomy

Adenoidectomy has been frequently performed as part of the surgical management for otitis media with effusion (OME) in children, although its efficacy is still controversial. We attempted to apply contact Nd-YAG laser surgery under rigid endonasal endoscopy to adenoidectomy in order to vaporize resi...

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Published inStomato-pharyngology Vol. 9; no. 3; pp. 387 - 392
Main Authors Hanada, Makoto, Tanaka, Yuko, Sonoda, Satoshi, Kitajima, Kazutomo
Format Journal Article
LanguageJapanese
Published Japan Society of Stomato-pharyngology 1997
Subjects
adenoid
endonasal endoscopy
Nd-YAG laser
otitis media with effusion
tubal tonsil
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Summary:Adenoidectomy has been frequently performed as part of the surgical management for otitis media with effusion (OME) in children, although its efficacy is still controversial. We attempted to apply contact Nd-YAG laser surgery under rigid endonasal endoscopy to adenoidectomy in order to vaporize residual adenoid and tubal tonsil tissue after conventional adenoidectomy in two cases of OME in children. In both cases, remarkable postoperative improvement in sonotubometry and tympanometry and no postoperative complications, such as stenosis or patulousness of eustachian tube by scar formation, occured. The present surgical procedure seems to be useful for treating some cases of persistent OME in children because of the adequate elimination of the effect of adenoid and tubal tonsil hypertrophy on OME.
ISSN:0917-5105
1884-4316
DOI:10.14821/stomatopharyngology1989.9.387