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Background and Objectives:The traditional adenoidectomy using adenotome and adenoid curette could not guarantee a clear operative field due to bleeding. Also the traditional transoral adenoidectomy was not always efective in the complete removal of ess of using the electric suction coagulator for adenoidectomy. Materials and Method:This study was completed by 60 patients who underwent adenoidectomy or adenoidectomy with ventilation tube insertion. For adenoidectomy, 30 cases were performed using the variable sized suction coagulator via nasal cavity and the other 30 were performed using the adenotome and adenoid curette with oral approach. The amount of intraoperative bleeding and the duration of surgery were recorded. A preoperative and Results:Intra-operative bleeding amount was less and les time was needed in suction coagulator method (p<0.05). There was no statistical difference in the postoperative endoscopic grade, adenoid nasopharyngeal ratio, and the shortest nasopharyngeal diameter between two groups. The postoperative improvement of subjective symptoms was not diferent. Conclusion:Adenoidectomy using tion and complete hemostasis. Especialy, the authors think that this method is useful for the removal of superior part of adenoid and peritubal adenoid tissue. (Korean J Otolaryngol 2002 ;45 :1167-71)

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