الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Adenoidectomy is the most popular procedure to be done especially in pediatrics . adenoidectomy is done as a single operation or with other operations include tonsillectomy and /myringototmy and ventilation tubes insertion.
This study aims to compare post-operative outcome of Surgical management of pediatrics with adenoid hypertrophy by endoscopic adenoidectomy versus conventional adenoidectomy complicated by persistant otitis media with effusion (OME) treated by myringotomy and tube insertion in pediatrics.
The study participants were recruited from patients with adenoid hypertrophy and otitis media with effusion not responding to medical treatment attending our outpatient clinic .
60 patients of both sexes, ranging in age from 4 to 16, participated in this study and were divided into two groups ,with 30 patients in each group. group (A) who had endoscopic adenoidectomy , group (B) who had conventional adenoidectomy ,all patients had myringotomy and ventilation tube insertion.
In our study, patients who had endoscopic adenoidectomy showed significant improvement in postoperative pain ,adenoid remnant ,closed nasality ,nasal manifestations, quality of life and hearing .
In conclusion, there are many advantages of Endoscopic adenoidectomy technique that it provides less intra-operative blood loss ,less injury to the surrounding structures , less post-operative adenoid tissue remnants and less post-operative pain ,also Endoscope allows good documentation ,visualization, more improvement of nasal symptoms and improvement of quality of life .
But endoscope is time consuming and costing .while conventional adenoidectomy has its advantage in its simplicity ,low cost and its availability in many places but it has many disadvantage that makes endoscopic adenoidectomy is the best technique to be chosen by the surgeons for pediatrics with adenoid hypertrophy.
Conclusion
In conclusion, there are many advantages of Endoscopic adenoidectomy technique that it provides less intra-operative blood loss ,less injury to the surrounding structures , lesss post-operative adenoid tissue remnants and lesss post-operative pain ,also Endoscope allows good documentation ,visualization, more improvement of nasal symptoms and improvement of quality of life .
But endoscope is time consuming and costing .while conventional adenoidectomy has its advantage in its simplicity ,low cost and its availability in many places but it has many disadvantage that makes endoscopic adenoidectomy is the best technique to be chosen by the surgeons for pediatrics with adenoid hypertrophy.