Anatomical Variables as Predictive Factors of Intra-Operative Residual during Adenoidectomy
Saleh, M., Nasr, N., Elkaseh, M., Saber, I. (2022). Anatomical Variables as Predictive Factors of Intra-Operative Residual during Adenoidectomy. EKB Journal Management System, 89(1), 4597-4601. doi: 10.21608/ejhm.2022.258693
Mohamed Ahmed Alshawadfy Saleh; Nasser Najeeb Nasr; Monira Abdulrahman Salem Elkaseh; Ibrahim Mohamed Saber. "Anatomical Variables as Predictive Factors of Intra-Operative Residual during Adenoidectomy". EKB Journal Management System, 89, 1, 2022, 4597-4601. doi: 10.21608/ejhm.2022.258693
Saleh, M., Nasr, N., Elkaseh, M., Saber, I. (2022). 'Anatomical Variables as Predictive Factors of Intra-Operative Residual during Adenoidectomy', EKB Journal Management System, 89(1), pp. 4597-4601. doi: 10.21608/ejhm.2022.258693
Saleh, M., Nasr, N., Elkaseh, M., Saber, I. Anatomical Variables as Predictive Factors of Intra-Operative Residual during Adenoidectomy. EKB Journal Management System, 2022; 89(1): 4597-4601. doi: 10.21608/ejhm.2022.258693

Anatomical Variables as Predictive Factors of Intra-Operative Residual during Adenoidectomy

The Egyptian Journal of Hospital Medicine
Article 74, Volume 89, Issue 1, October 2022, Page 4597-4601  XML PDF (614.29 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2022.258693
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Authors
Mohamed Ahmed Alshawadfy Saleh; Nasser Najeeb Nasr; Monira Abdulrahman Salem Elkaseh; Ibrahim Mohamed Saber
Abstract
Background: Children with adenoids that have grown too large often have difficulty breathing or get infections among upper respiratory tract because their airways are blocked. In most cases, adenoidectomy can reduce clinical symptoms and boost quality of life.
Objectives: This study aimed to determine if there are any factors that can influence the usual procedure of adenoidectomy and its ability to remove all adenoid tissue.
Subjects and Methods: Intra-operative variables for assessing demographic and anatomical characteristics, such as age, sex, weight, height, BMI, and soft palate length were observed in a retrospective analysis to determine their impact on adenoidectomy success. Every child had a standard trans-oral curettage adenoidectomy completed under endoscopic control, and if there were any adenoid remnants, a revision adenoidectomy was done at the same time. The total number of patients included was 208.
Results: In 43.7% of patients (91/208), complete adenoidectomy was challenging since traditional surgery could not access the most important parts of the nasopharynx. The average soft palate length in this group was 2.8 centimeters, 5 millimeters longer than the sample as a whole, and 1 cm larger than the typical patient who undergoes only standard surgical procedure alone (p < 0.001). Conclusion: Intraoperatively, the soft palate length can be used as a factor for choosing which patients would undergo endoscopic control following standard adenoidectomy.
 
Keywords
Intra-operative residual; Adenoidectomy; TECCA; Revision adenoidectomy
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