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Intraoperative endoscopic views demonstrating the advantage of the PEAK PlasmaBlade used for adenoidectomy. These representative photos were captured from Case 4. (a) A Grade 3 adenoid hypertrophy is shown via the right nasal passage. (b) Transoral adenoidectomy with the PEAK PlasmaBlade. (c) Blade tip working on the right peritubal area. (d) Manipulating the blade tip toward the roof of the nasopharynx and (e) toward the retrotubal area of the right Eustachian tube. (f) Rotating the blade tip toward the retrotubal area of the left Eustachian tube. P = PlasmaBlade; R = roof of nasopharynx; S = soft palate; T = tongue; TT = torus tubarius; V = vomer.
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Nasoendoscopy showed bilateral inferior turbinate hypertrophy; in addition, a Grade 3 swollen adenoid that blocked the Eustachian tube opening and partially occluded the bilateral choanae was also noted (Figure 3(a)).
Postoperative outcome from Case 4. (a) Prior to and (b) during surgery, there were hypertrophic adenoid abuts on the torus tubarius which resulted in narrowing the right and left Eustachian tube opening (asterisk) as a slit-like appearance. (c, d) At 6-month postoperative follow-up, there is a significant reduction of adenoid volume around the roof of nasopharynx and the peritubal and retrotubal regions by showing a clear division between the adenoid pad and torus tubarius (arrow heads, panel (d)). A more dilated opening of the Eustachian tube is observed postoperatively (asterisk, panels (c) and (d)). R = roof of nasopharynx; TT = torus tubarius; V = vomer.
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Endoscopic examination at the 6-month postoperative follow-up showed near complete removal of hypertrophic adenoid tissues (Figures 4(c) and 4(d)).
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