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Regrowth of the adenoids after adenoidectomy down to the pharyngobasilar fascial surface

Published online by Cambridge University Press:  08 July 2015

L Wei ,
M Wang ,
N Hua ,
K Tong ,
L Zhai  and
Z Wang
L Wei
Affiliation:
Otolaryngology Department, Affiliated Zhongshan Hospital of Dalian University, China
M Wang
Affiliation:
Otolaryngology Department, Affiliated Zhongshan Hospital of Dalian University, China
N Hua
Affiliation:
Otolaryngology Department, Affiliated Zhongshan Hospital of Dalian University, China
K Tong
Affiliation:
Otolaryngology Department, Affiliated Zhongshan Hospital of Dalian University, China
L Zhai
Affiliation:
Otolaryngology Department, Affiliated First Hospital of Dalian Medical University, China
Z Wang*
Affiliation:
Otolaryngology Department, Affiliated Zhongshan Hospital of Dalian University, China
*
Address for correspondence: Dr Z Wang, Otolaryngology Department, Affiliated Zhongshan Hospital of Dalian University, 6 Jiefang Street, ZhongShan District, Dalian 116001, China Fax: +86-411-62893555 E-mail: [email protected]
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Abstract

Objectives:

This study aimed to explore adenoid regrowth after transoral power-assisted adenoidectomy down to the pharyngobasilar fascial surface.

Methods:

Transoral adenoidectomy down to the pharyngobasilar fascia surface was performed on 39 patients under endoscopic guidance, using a power-assisted system. The operation time, amount of blood loss and iatrogenic injury, presence of complications, and success and regrowth rates were recorded to assess the feasibility, safety and effectiveness of our surgical technique.

Results:

In this adenoidectomy procedure, the pharyngobasilar fascia was left intact. The estimated blood loss was 5–50 ml (mean 15 ml), and the success rate was 97.3 per cent. Early complications occurred in 2.3 per cent of patients, while no long-term complications occurred in the cohort. No regrowth was found in the follow-up assessments, which were performed for 18–36 months after surgery.

Conclusion:

Adenoid regrowth was rare after adenoidectomy down to the pharyngobasilar fascial surface. The pharyngobasilar fascia can therefore be considered a surgical boundary for adenoidectomy.

Keywords

AdenoidsAdenoidectomyNasopharynxFasciaEndoscopes
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 7 , July 2015 , pp. 662 - 665
Copyright
Copyright © JLO (1984) Limited 2015 

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