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Paediatric refractory rhinosinusitis secondary to hypertrophied adenoids: management and review of literature.

Background /Objectives: Hypertrophied adenoids are the most common cause of refractory sinusitis in paediatric age. We study 42 cases of patients of chronic adenoiditis with adenoid facies and refractory chronic rhinosinusitis managed by endoscopic assisted adenoidectomy (EAA) and conventional adenoidectomy (CA).

Materials and method: 42 cases of chronic refractory sinusitis with adenoid facies secondary to hypertrophied adenoids were randomized into 2 groups during the study period of 12 months from August 2012 to July 2013. Group A (n=21) underwent endoscope assisted adenoidectomy and Group B(n=21) underwent conventional adenoidectomy.

Result: Endoscopic assisted adenoidectomy proves to be more effective in managing adenoid facies and chronic refractory rhinosinusitis with adenoid hyperplasia.

Conclusion: Visualization of the adenoid mass using endoscope helps complete removal of the diseased adenoids. Endoscopic assisted adenoidectomy is treatment of choice in adenoid facies and chronic refractory rhinosinusitis with adenoid hyperplasia and more effective than conventional adenoidectomy.

Author(s): Goutham M K Ravishankara S Sudhir M Naik Sathya P Mohan Appaji Shankar Narayanan Bhat Ravi Karumbiah Rudresh Hirmath