サクション・コアギュレーターを用いたアデノイド切除術

DOI 被引用文献1件 参考文献14件

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  • Adenoidectomy using suction diathermy

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Adenoidectomy is a the common surgery in the pediatric population and is one of the operations we otolaryngologists should master first. Traditionally the operation was performed with the curette or adenotome under no visualization, but alternative techniques using various surgical tools have been reported. We performed adenoidectomy using suction diathermy.<BR>Of the 14 patients who underwent adenoidectomy, 9 were male and 5 were female, with ages ranging from 3 to 13 years (mean age, 5.8years). Five patients underwent adenoidectomy alone. Adenoidenctomy were performed on 8 patients and 1 patient, with tonsillectomy and inferior turbinate ablation respectively.<BR>Under general anesthesia, the patient is placed in the supine position and a Crow-Davis mouth gag is used for retraction of the mandible. Two Nelaton catheters are inserted into the nares out the oropharynx and their proximal ends are clamped to elavate the soft palate. A 70°endoscope is introduced into the oral cavity and the adenoids or other nasopharyngeal structures are examined under direct visualization on the video-monitor. 10 French Valleylab Handswitching Suction Coagulator E2610-6 is used with its tip bent to an appropriate angle and the tip is inserted within the adenoid pad. The current is applied for several seconds, and simultaneously the probe tip is gradually withdrawn. The repetition of this procedure can excise the adenoid tissue and the operation is complete when the choana and the nasopharyngeal outline are visible.<BR>The operative time was about 10 minutes and the blood loss was minimal. Two complications, OME (otitis media with effusion) and local infection, were seen in 1 patient and 3 patients, respectively.<BR>We conclude that the suction diathermy adenoidectomy under endoscopy visualization is a useful technique, particularly for re-operative cases in which the adenoid hypertrophy extends to the choana.

収録刊行物

  • 口腔・咽頭科

    口腔・咽頭科 17 (2), 257-263, 2005

    日本口腔・咽頭科学会

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