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Page 88
Volume 09
Otolaryngology: Open Access
ISSN: 2161-119X
ENT 2019
Craniofacial Surgery 2019
August 15-17, 2019
JOINT EVENT
conferenceseries
.com
August 15-17, 2019 Rome, Italy
&
3
rd
International Conference on
Craniofacial Surgery
4
th
European Otolaryngology-ENT Surgery Conference
Effect of adenoidectomy in children in the management of paediatric Rhinosinusitis and associated
diseases
Rohan Malla Baruah
Jain ENT Hospital, India
Objectives:
The effectiveness of adenoidectomy in the management of pediatric sinusitis is still a controversial issue.
The size of the adenoid and associated diseases are the factors for consideration. The adenoid has been studied and
is proved to be a probable source of infection for the paranasal sinus. The purpose of this study is to evaluate the
efficacy of adenoidectomy in reducing the frequency of sinusitis in children.
Methods:
A prospective study was done in pediatric patients with rhinosinusitis admitted in Dr.N.M.B.Baruah
Nursing Home for adenoidectomy from June 2017 to June 2018. Pre-operative frequency of rhinosinusitis,
underlying diseases and the diseases caused by the adenoid were recorded. The adenoid size was evaluated by lateral
skull X-ray. The patients were followed after surgery and frequency of rhinosinusitis and associated diseases were
compared with the pre-operative period.
Results:
There were 50 patients with mean age of 5+/-2.8 years. 92%of the patients had obstructive sleep disorder
and 88.2% had adenoid-nasopharyngeal ratio >0.7. There was a statistically significant reduction of episodes per year
of rhinosinusitis and obstructive sleep disorder after surgery
Conclusions:
Adenoidectomy was proved to be effective in the management of pediatric rhinosinusitis in this series.
Adenoidectomy should be most beneficial as a surgical option before endoscopic sinus surgery (ESS), especially in
younger children with obstructive symptoms.
Otolaryngol (Sunnyvale) 2019, Volume 09