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Beitragstitel How we do it: “High Definition-video endoscopic assisted adenoidectomy” (HD-VEAA)
Beitragscode P15
Autor:innen
  1. Nader Ahmad Kantonsspital Aarau Präsentierende:r
  2. Michael Schlumpf Universtitätsspital Basel Präsentierende:r
  3. André Arnoux Kantonsspital Aarau
  4. Frank Metternich Kantonsspital Aarau AG
Präsentationsform Poster
Themengebiete
  • SGORL - Schwindel und Gleichgewicht
Abstract-Text Introduction
The aim of the study is to show our first results in using HD-VEAA, highlight the benefits and predict the future of this rather unknown technique.

Material and Methods
In the year 2017 50 patients were recruited to the study suffering from symptomatic adenoid hyperplasia. For visualization we used a 70° optical endoscope with a HD-video camera connected to a HD-Screen. Adenoidectomy was performed alone or in combination with tonsillotomy/tonsillectomy. We performed a cold technique using the Beckmann’s adenotome and Jurasz foreceps. If needed a curved bipolar suction cautery was used to provide hemostasis or to remove small residuals of the adenoid bed. Video documentation was done before and after surgery.

Results
50 patients between the age of 1.5 and 37 years underwent adenoidectomy. Most patients were children showing adenoid hyperplasia II-III°. Mean operation time was equal to standard technique. Overall < 5% of adenoid tissue remains and < 10% of the adenoid bed has to be coagulated. Secondary hemorrhage occurred in 2% (1/50).

Conclusion
HD-VEAA helps to understand adenoid anatomy, therefore leads to less morbidity and potentially better outcomes. Furthermore it is an excellent way to safely teach in time saving manner. Follow-up data will be published soon.