Trans-oral endoscopic partial adenoidectomy does not worsen the speech after XXXX repair.

@entity1 @entity1184 @entity1739 @entity2419 @entity1224
INTRODUCTION: @entity1184 may play a role in velopharyngeal closure especially in @entity1 with palatal abnormality; adenoidectomy may lead to @entity1739 and hyper nasal speech. @entity1 with @entity2419 even after repair should not undergo adenoidectomy unless absolutely needed, and in such situations, conservative or partial adenoidectomy is performed to avoid the occurrence of @entity1739 . Trans-oral endoscopic adenoidectomy enables the surgeon to inspect the velopharyngeal valve during the procedure. OBJECTIVE: The aim of this study was to assess the effect of transoral endoscopic partial adenoidectomy on the speech of @entity1 with repaired @entity2419 . METHODS: Twenty @entity1 with repaired @entity2419 underwent transoral endoscopic partial adenoidectomy to relieve their @entity1224 . The procedure was completely visualized with the use of a 70   4mm nasal endoscope; the upper part of the adenoid was removed using adenoid curette and St. Claire Thompson forceps, while the lower part was retained to maintain the velopharyngeal competence. Preoperative and postoperative evaluation of speech was performed, subjectively by auditory perceptual assessment, and objectively by nasometric assessment. RESULTS: Speech was not adversely affected after surgery. The difference between preoperative and postoperative auditory perceptual assessment and nasalance scores for nasal and oral sentences was insignificant (p=0.231, 0.442, 0.118 respectively). CONCLUSIONS: Transoral endoscopic partial adenoidectomy is a safe method; it does not worsen the speech of repaired @entity2419 @entity1 . It enables the surgeon to strictly inspect the velopharyngeal valve during the procedure with better determination of the adenoidal part that may contribute in velopharyngeal closure.
