Adenoidectomy with Suction Electrocautery Technique

Adenoidectomy with Suction Electrocautery Technique: A Crowe-Davis mouth gag is placed to provide adequate visualization of the oral cavity. A red rubber catheter is passed from the nose through the nasopharynx and back out through the mouth to provide anterior retraction of the soft palate. A dental mirror is placed in the oropharynx to enable adequate visualization of the nasopharynx. Suction electrocautery is used to remove the adenoid tissue. Hemostasis is achieved and the nasopharynx is irrigated. Prior to cessation of anesthesia, an orogastric tube should be used to suction fluid from the stomach.

Obstruction or chronic/recurrent infections of the nasopharynx

Active local infection, certain hematologic disorders, certain pharyngeal anatomical abnormalities

N/A

The patient is placed under general anesthesia. A Crowe-Davis mouth gag is placed to provide adequate visualization of the oral cavity. A red rubber catheter is passed from the nose through the nasopharynx and back out through the mouth to provide anterior retraction of the soft palate. Finally, a dental mirror is placed in the oropharynx to enable adequate visualization of the nasopharynx and adenoids.

Patient-elicited history significant for chronic/recurrent infections and/or nasal obstruction PLUS direct visualization of hyperplastic adenoid tissue in the nasopharynx.

The adenoid tissue is a soft mass of lymphoid tissue in the posterior nasopharynx, situated close to the anterior opening of the Eustachian tube.

Intra-operative: bleeding, thermal burns
Post-operative: pain, infection, bleeding, nasopharyngeal stenosis

None

American Academy of Otolaryngology Head and Neck Surgery: Adenoidectomy Clinical Indicators

https://www.societyformiddleeardisease.org/Content/ClinicalIndicators/Adenoidectomy-CI_Final-May-2012.pdf