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STUDYING THE CLINICAL, ENDOSCOPIC FINDINGS AND ASSESSING THE RESULTS OF ENDOSCOPIC ADENOIDECTOMY BY CONTINUOUS SUCTIONING IN THE PATIENTS WITH ADENOID HYPERTROPHY AT CAN THO CHILDREN'S HOSPITAL IN 2023-2024
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Abstract
Background: Adenoid hypertrophy is the leading group of pediatric otolaryngology. It is one of the most common diseases in children during the first 6 years of life. This condition is also prone to recurrence, prolonged inflammation, and many complications. Objectives: 1. To describe the clinical features and endoscopic findings of patients with adenoid hypertrophy who had endoscopic adenoidectomy by continuous suctioning at Can Tho Children's Hospital from 2023 to 2024. 2. To evaluate the results of endoscopic adenoidectomy by continuous suctioning at Can Tho Children's Hospital from 2023 to 2024. Materials and methods: A cross-sectional descriptive was conducted on 70 patients diagnosed with adenoid hypertrophy who had endoscopic adenoidectomy by continuous suctioning at Can Tho Children's Hospital from April 2023 to April 2024. The result of research was conducted by interviewing the patient, medical examination, collecting information through the research medical record. Results: The percentage of men encountering more than women accounted for 67.1% and 32.9% respectively. The most common symptom was nasal discharge (84.3%). Most of them had the grade III hypertrophy adenoid with 65.7%. The fluid accumulation in the middle ear accounted for 22.9%. After 3 months, all of the symptoms postoperative improved significantly. There was complete resolution of V.A tissue without recurrence. There was compensatory hyperplasia through tonsilla tubaria, with an occurrence in one case (1.4%). Treatment results after adenoidectomy by hummer achieved good results, accounting for 98.6%. Conclusions: Adenoid hypertrophy is a common disease that causes many symptoms in children. Adenoidectomy by hummer has good results.
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Keywords
Adenoid hypertrophy, continuous suctioning, children
References
2. Nguyễn Hữu Khôi. Viêm họng Amidan và VA. Nhà xuất bản Y Học. 2006. 121-145.
3. Agarwal PK., Agrawal V., Agrawal A.. Defining the surgical limits of adenoidectomy so as to prevent recurrence of adenoids. Indian Journal of Otolaryngology and Head & Neck Surgery. 2016. 68(2), 131-134, http://doi.org/10.1007/s12070-016-0971-7.
4. Parikh S.R., Coronel M., Lee J.J.. Validation of a new grading system for endoscopic examination of adenoid hypertrophy. Otolaryngology–Head and Neck Surgery. 2006. 135(5), 684-687, http://doi.org/ 10.1016/j.otohns.2006.05.003.
5. American Academy of Otolaryngology–Head and Neck Surgery. Clinical Indicators: Adenoidectomy. 2021. https://www.entnet.org/resource/clinical-indicators-adenoidectomy/.
6. Nguyễn Xuân Mai, Dương Hữu Nghị. Nghiên cứu đặc điểm lâm sàng, cận lâm sàng, nhĩ lượng đồ và đánh giá kết quả điều trị nạo V.A phì đại bằng hummer tại Bệnh viện Tai Mũi Họng Cần Thơ năm 2018-2020. Trường Đại học Y dược Cần Thơ. 2018. 30-62.
7. Phạm Đình Cảnh, Nguyễn Tư Thế, Hồ Mạnh Hùng. Nghiên cứu đặc điểm lâm sàng và kết quả điều trị phẫu thuật nạo V.A bằng plasma ở trẻ em tại Bệnh viện Trung Ương Huế. Trường Đại học Y dược Huế. 2022. 39-54.
8. Đỗ Đức Cảnh, Nguyễn Minh Hưng, Vũ Trung Kiên. Đánh giá kết quả phẫu thuật nội soi sử dụng coblator nạo V.A tại Bệnh viện Nhi Thái Bình. Trường Đại học Y dược Thái Bình. 2022. 25-40.
9. Nguyễn Văn Đạo, Lê Thanh Thái. Đánh giá kết quả phẫu thuật nạo V.A bằng dụng cụ cắt hút shaver qua nội soi. Trường Đại học Y dược Huế. 2020. 32-48.
10. Trần Thị Kim Tuyến, Nguyễn Tư Thế, Nguyễn Lưu Trình. Nghiên cứu đặc điểm lâm sàng, hình thái nhĩ lượng đồ và kết quả điều trị phẫu thuật nạo V.A. Tạp chí Y dược Huế. 2018. 8(06), 5055, https://doi.org/10.34071/jmp.2018.6.7.