Adenoidal Hypertrophy
Conditions
Brief summary
Efficacy of partial adenoidectomy versus total adenoidectomy regarding rate of recurrence and relief of nasal obstruction.
Interventions
DEVICEEndoscopic adenoidectomy
Subjects will be randomly assigned into two groups (30 patient each group): Group A will undergo endoscopic partial adenoidectomy using the 70◦ rigid endoscope trans-orally and shaver (microdebrider) ,by removing the upper (choanal) part only with leaving the lower part of the adenoid .(2) Group B will undergo total adenoidectomy ,by removing all the adenoid lymphoid tissue .
Sponsors
Assiut University
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
ALL
Age
1 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* .all patients with adenoid hypertrophy causing airway obstruction.
Exclusion criteria
* 1\. Chlidren known to have cleft palate ,submucous cleft palate or other medical problems causing velopharyngeal insufficiency. * 2 . Systemic medical problems interfering with surgery. * 3 . Refusal of parents to participate. * 4\. Craniofacial abnormalities. * 5\. Down syndrome.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Efficacy of partial adenoidectomy versus total adenoidectomy regarding rate of recurrence and relief of nasal obstruction. | 1 to 2 years . | 1\. Relief of nasal obstruction while preserving the function of velopharyngeal valve and assessment of the recurrence rate. |
| Incidence of recurrence using fibro-optic evaluation | 1 to 2 years . | Relief of nasal obstruction of posterior nasal chona using fibro-optic evaluation and assessment of recurrence rate using also questionnaires sheets to all parents. |
Countries
Egypt
Contacts
Primary ContactMohamed M Ragheb
Backup ContactMohamed M Roshdy
Outcome results
None listed