Management of the lymphatic tissue around the Eustachian tube orifice during endoscopic adenoidectomy

OBJECTIVE To discuss the effective and safe method to manage the ambient lymphatic tissue of Eustachian tube orifice by microdebrider during endoscopic adenoidectomy.METHODS Twenty-six cases with secretory otitis media caused by adenoid hypertrophy were operated on by endoscopec adenoidectomy using microdebrider(13/26) and orthodox curettage of adenoids(13/26).The results of the two methods were compared.RESULTS There was a significant difference in cure rates between the two methods.The adenoid gland was removed completely and the anatomic configuration of nasopharynx was well after endoscopec adenoidectomy by microdebrider. CONCLUSION Endoscopic adenoidectomy by microdebrider provides a direct and clear view that allows the surgeon to remove adenoid tissue accurately and effectively with few complications.