Role of endoscopic guided partial adenoidectomy in avoiding open nasality
Joint Authors
Source
Egyptian Journal of Ear, Nose, Throat and Allied Sciences
Issue
Vol. 17, Issue 3 (30 Nov. 2016), pp.143-146, 4 p.
Publisher
Egyptian Society of Ear Nose Throat and Allied Science
Publication Date
2016-11-30
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Objectives: Assess the effects of endoscopic guided partial adenoidectomy on resonance of speech in patients with poor palatal mobility and evaluate its role in avoiding postoperative open nasality.
Materials and methods: This study was a prospective randomized trial conducted in one year duration.
A total of 40 patients were assessed for eligibility; 24 patients were excluded as they did not meet the inclusion criteria.
Two patients out of the eligible sixteen refused surgery.
Inclusion criteria: 1-patient complaining of snoring, nasal obstruction and nasal discharge, all of which were caused by adenoid.
2-Poor palatal mobility on endoscopic examination.
Exclusion criteria: any neurological deficit, muscular disorder or structural defects of the palate.
All eligible patients had undergone partial adenoidectomy.
Speech was evaluated preoperative and postoperative.
Results: The study group had definite poor palatal mobility on endoscopic examination and lateral videofluroscopy.
Endoscopic guided partial adenoidectomy has been done to all 14 patients.
Postoperative evaluation showed marked relieving of symptoms such as nasal obstruction, discharge and mouth breathing with successfully maintaining the velopharyngeal competence but there was no complete relieving of closed nasality.
Conclusion: There is necessity to screen potential candidates for adenoidectomy in order to prevent postoperative velopharyngeal dysfunction.
Nasoendoscopy and lateral videofluroscopy have been useful to examine the palatal mobility, palatal length, depth of the pharynx and to exclude possible occult cleft palate.
Partial adenoidectomy should be taken into consideration for risky patients.
Satisfactory results were obtained as regards relieving nasal symptoms and maintaining velopharyngeal competence but didn’t improve quite fully the closed nasality.
American Psychological Association (APA)
Mustafa, Iman& Rizq, Ibrahim. 2016. Role of endoscopic guided partial adenoidectomy in avoiding open nasality. Egyptian Journal of Ear, Nose, Throat and Allied Sciences،Vol. 17, no. 3, pp.143-146.
https://search.emarefa.net/detail/BIM-773995
Modern Language Association (MLA)
Mustafa, Iman& Rizq, Ibrahim. Role of endoscopic guided partial adenoidectomy in avoiding open nasality. Egyptian Journal of Ear, Nose, Throat and Allied Sciences Vol. 17, no. 3 (Nov. 2016), pp.143-146.
https://search.emarefa.net/detail/BIM-773995
American Medical Association (AMA)
Mustafa, Iman& Rizq, Ibrahim. Role of endoscopic guided partial adenoidectomy in avoiding open nasality. Egyptian Journal of Ear, Nose, Throat and Allied Sciences. 2016. Vol. 17, no. 3, pp.143-146.
https://search.emarefa.net/detail/BIM-773995
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 146
Record ID
BIM-773995