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The use of the La Force adenotome alone is inadequate for the complete removal of adenoid tissue. The curet, in most hands, strips mucosa and leads to the formation of scar tissue. In cases in which hearing is normal and ears uninvolved, it may not be essential that the meticulous removal of all nasopharyngeal lymphoid tissue be carried out, but in cases in which hearing is impaired, complete eradication of adenoid tissue is imperative.
This should be accompanied by dilatation of the eustachian tubes under direct vision.
At the Los Angeles Children's Hospital the following technic has given satisfactory results.
The instruments used are:
The Andy Love palate retractor.
The Gergoiye tubal dilators.
The Guggenheim lateral curtain punch.
The Guggenheim triangular forceps.
The Guggenheim curved scissors.
After removal of the adenoid with the La Force adenotome and the control of bleeding with tampons saturated with epinephrine hydrochloride, the soft palate is elevated with
GUGGENHEIM L. DIRECT ADENOIDECTOMY. Arch Otolaryngol. 1941;33(2):314–315. doi:10.1001/archotol.1941.00660030317014
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