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Defining the Surgical Limits of Adenoidectomy so as to Prevent Recurrence of Adenoids

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Abstract

This study aims to define the surgical boundaries of adenoidectomy by demonstrating that recurrence of adenoids and its symptoms can be avoided if a complete adenoidectomy is performed, by following these surgical limits. A prospective descriptive study was carried out at Speciality ENT Hospital, Mumbai, India. Endoscopic adenoidectomy was performed in 83 patients using coblation technology. In all patients, adenoids were removed superiorly till the periosteum over the body of sphenoid; posteriorly till the pharyngobasilar fascia; laterally till fossa of Rosenmuller in the posterior part and till the torus tubarius in the anterior part; and inferiorly till the Passavant’s ridge. The patients were followed up postoperatively and a nasal endoscopy was done at the end of 1 year to look for any recurrence or regrowth of adenoids, so as to determine the efficacy of the procedure. A total of 83 patients underwent adenoidectomy with a mean age of 12.80 years. 12 patients were lost to follow up. Of the remaining 71 patients, no patient showed any evidence of recurrence of adenoid on follow-up nasal endoscopy done at the end of 1 year. Recurrence of adenoid post adenoidectomy is not seen if there is complete removal of adenoids. So it is essential that all adenoid tissue be removed during adenoidectomy. The complete removal of adenoids can be ensured by following the surgical limits of adenoidectomy.

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Authors and Affiliations

  1. Speciality ENT Hospital, Satyam Tower, 90 Feet Road, Behind HDFC Bank, Kandivali East, Mumbai, Maharashtra, 400101, India

    Vikas Agrawal & Pranay Kumar Agarwal

  2. Topiwala National Medical College, Mumbai, India

    Aniruddh Agrawal

Authors
  1. Vikas Agrawal
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  2. Pranay Kumar Agarwal
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  3. Aniruddh Agrawal
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Correspondence to Pranay Kumar Agarwal.

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Vikas Agrawal, Pranay Kumar Agarwal and Aniruddh Agrawal declares that they have no conflict of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Agrawal, V., Agarwal, P.K. & Agrawal, A. Defining the Surgical Limits of Adenoidectomy so as to Prevent Recurrence of Adenoids. Indian J Otolaryngol Head Neck Surg 68, 131–134 (2016). https://doi.org/10.1007/s12070-016-0971-7

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  • DOI: https://doi.org/10.1007/s12070-016-0971-7

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