원저

소아에서 내시경을 이용한 아데노이드 절제술과 고식적 아데노이드 절제술의 비교

양선모1, 김현웅1, 조진학2, 김정현3, 민병억1, 주형로1, 박찬흠1,*
Sun Mo Yang1, Hyun Ung Kim1, Jin Hack Cho2, Jung Hyun Kim3, Byoung Yuk Min1, Hyung Ro Chu1, Chan Hum Park1,*
Author Information & Copyright
1한림대학교 의과대학 이비인후-두경부외과학교실
2누가 이비인후과
3한림대학교 의과대학 이비인후-두경부외과학교실
1Department of Otorhinolaryngology-Head & Neck Surgery, College of Medicine, Hallym University, Chunchon, Korea
2Luke ENT Clinic, Chunchon, Korea
3Department of Otorhinolaryngology-Head & Neck Surgery, College of Medicine, Hallym University, Anyang, Korea
*교신저자: 박찬흠, 200-704 강원도 춘천시 교동 153 한림대학교 의과대학 이비인후-두경부외과학교실 전화: (033) 252-9970(교환 181)·전송: (033) 241-2909 E-mail: hlpch@lycos.co.kr

© Copyright 2002 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Apr 26, 2002; Accepted: May 20, 2002

Published Online: May 31, 2020

ABSTRACT

Background and Objectives: Adenoidectomy with or without other surgical procedures such as tonsillectomy or tympanostomy tube insertion is a commonly performed treatment for adenoid hypertrophy. Recently, adenoid has been removed under endoscopy which was widely used in otolaryngological field. The aim of this study is to compare conventional transoral adenoidectomy with transnasal endoscopic adenoidectomy and to evaluate the effectiveness and surgical outcomes of transnasal endoscopic adenoidectomy. Materials and Methods: Twenty patients of conventional adenoidectmy using adenoid curette and twenty patients of endoscopic adenoidectomy were compared. We compared the volume of intraoperative bleeding, the operation time, skull lateral radiographs and endoscopic photographs between to groups. Results: Endoscopic adenoidectomy group shows more intraoperative bleeding and intraoperative time than conventional adenoidectomy group. But, adenoic tissue could be removed more completely in endoscopic adenoidectomy group. Even though there were no statistical difference, the endoscopic adenoidectomy group showed slightly the more change of adenoid-nasopharynx ratio and endoscopic grade than conventional adenoidectomy group. Also there were no differences statistically with regard to complication rate. Conclusion: As compared to the conventional adenoidectomy, the endoscopic adenoidectomy has similar postoperative results but it can remove more adenoid tissue under direct visualization without damage to other structures. This technique may be particularly useful for revision cases or superiorly positioned adenoids projecting into the choana and around eustachian tube. (J Clinical Otolaryngol 2002;13:105-110)

Keywords: 내시경; 아데노이드절제술
Keywords: Endoscopy; Adenoidectomy