CHRONIC ADENOID HYPERTROPHY WITH GRADE 2 ANKYLOGLOSSIA TREATED BY ENDOSCOPIC DEBRIDER/COBLATION ASSISTED ADENOIDECTOMY AND TONGUE TIE RELEASE
Main Article Content
Keywords
Adenoid hypertrophy, ankyloglossia, coblation, endoscopic adenoidectomy, tongue tie, tongue tie release, speech results, airway obstruction, case report
Abstract
Background: Chronic adenoid hypertrophy and ankyloglossia (tongue tie) are common pediatric conditions with the potential of distinctly impacting airway, speech and quality of life. This case presentation entails a review of a clinical case of a 5-year-old boy presenting with chronic adenoid hypertrophy and grade 2 ankyloglossia, managed in surgery directly.
Case Presentation: This patient was referring with typical signs of adenoid hypertrophy nasal obstruction, mouth breathing, snoring, and speech problems due to tongue tie. Adenoidectomy and tongue tie release were done using endoscopic debrider/coblation in one surgical procedure.
Results: The combined modality resulted in an immediate symptomatic relief with resolving nasal obstruction, better sleep quality, and better tongue mobility. All postoperative and intraoperative complications were insignificant. At follow-up, the patient showed better speech articulation and quality of life in general.
Conclusion: Endoscopic debrider/coblation-assisted adenoidectomy and tongue tie release is a safe and efficacious approach to the simultaneous treatment of adenoid hypertrophy and ankyloglossia in children. This can be done through early intervention and prevent long term complications and optimizing functional outcomes.
References
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Kirthika V
Pharm-D Intern, School of Pharmaceutical Science, Vels Institute of Science, Technology and Advanced Studies, Chennai, Tamil Nadu, India.
Aparna V
Pharm-D Intern, School of Pharmaceutical Science, Vels Institute of Science, Technology and Advanced Studies, Chennai, Tamil Nadu, India.
Dr.M. Dheenadhayalan
Assistant Professor of the Department of Pharmacy Practice, School of Pharmaceutical Science, Vels Institute of Science, Technology and Advanced Studies, Chennai, Tamil Nadu, India.
Dr.K. Karthickeyan
Professor and Head of the Department of Pharmacy Practice, School of Pharmaceutical Science, Vels Institute of Science, Technology and Advanced Studies, Chennai, Tamil Nadu, India.
Dr. P. Shanmuga Sundaram
Dean of the Department of Practice, School of Pharmaceutical Science, Vels Institute of Science, Technology and Advanced Studies, Chennai, Tamil Nadu, India.
Dr. M.K. Sundar Sri
Assistant Professor of the Department of Pharmacy Practice, School of Pharmaceutical Science, Vels Institute of Science, Technology and Advanced Studies, Chennai, Tamil Nadu, India.