{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,11]],"date-time":"2025-06-11T05:04:52Z","timestamp":1749618292455},"reference-count":17,"publisher":"ALUNA","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Wiad Lek"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:p>The aim: To study the efficacy of surgical treatment of patients with adenoid vegetations by implementing a differential method for choosing a tip for endo\u00acscopic power-assisted adenoidectomy in children depending on dentition. \nMaterials and methods: We investigated the presence of nasal air emissions in 127 children (2-12 years old) before and after the operation. We excluded 12 patients due to the presence of nasal air emission before the operation. All patients were divided in 2 groups: I \u2013 children with aging primary dentition (55 children), II- children with mixed dentition (60 children). Depending on tips, that were used for the operation, we divided patients into two subgroups: A - 40\u02da and B- 60 \u02da. \nResults: In 9,4% of patients have the presence of nasal air emissions before the operation. The use of 40\u02da tips does not allow removal of lymphoid tissue in \u201chard-to-reach\u201d areas of the nasopharynx (perichoanal and peritubular sections) in 30% of children with aging primary dentition and 42.9% with mixed dentition. \nConclusions: The use 40\u02da tips for the adenoidectomy is accompanied by a higher risk of velopharyngeal insufficiency in children with mixed dentition compared to children who underwent the intervention with a tip with a larger bending angle and a longer working part (60\u00b0). In patients with temporary dentition, it is recommended to use a standard tip for adenoidectomy, except when correction of tubal lymphoid tissue is planned (it is necessary to use a tip with a rotating window). In patients with mixed dentition, it is recommended to use a 60\u00b0 tip.<\/jats:p>","DOI":"10.36740\/wlek202310107","type":"journal-article","created":{"date-parts":[[2023,11,11]],"date-time":"2023-11-11T22:00:23Z","timestamp":1699740023000},"page":"2176-2181","source":"Crossref","is-referenced-by-count":1,"title":["OPTIMIZATION OF POWER-ASSISTED ADENOIDECTOMY IN CHILDREN USING SHAVER TIPS OF VARIOUS MODIFICATION"],"prefix":"10.36740","volume":"76","author":[{"given":"Anatolii L.","family":"Kosakovskyi","sequence":"first","affiliation":[{"name":"SHUPYK NATIONAL HEALTHCARE UNIVERSITY OF UKRAINE, KYIV, UKRAINE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kateryna V.","family":"Liakh","sequence":"additional","affiliation":[{"name":"SHUPYK NATIONAL HEALTHCARE UNIVERSITY OF UKRAINE, KYIV, UKRAINE; STATE INSTITUTION OF SCIENCE \u00abRESEARCH AND PRACTICAL CENTER OF PREVENTIVE AND CLINICAL MEDICINE\u00bb STATE ADMINISTRATION DEPARTMENT, KYIV, UKRAINE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yaroslav V.","family":"Shkorbotun","sequence":"additional","affiliation":[{"name":"SHUPYK NATIONAL HEALTHCARE UNIVERSITY OF UKRAINE, KYIV, UKRAINE; STATE INSTITUTION OF SCIENCE \u00abRESEARCH AND PRACTICAL CENTER OF PREVENTIVE AND CLINICAL MEDICINE\u00bb STATE ADMINISTRATION DEPARTMENT, KYIV, UKRAINE"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"22436","published-online":{"date-parts":[[2023]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"1. Arambula A et al. Anatomy and physiology of the palatine tonsils, adenoids, and lingual tonsils. World Journal of Otorhinolaryngology- Head and Neck Surgery. 2021;7:155e160. doi:10.1016\/j.wjorl.2021.04.003.","DOI":"10.1016\/j.wjorl.2021.04.003"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"2. Karaer IC, \u00c7imen \u00d6zaydogdu A. Effect of montelukast treatment on adenoid hypertrophy and sleep quality in pediatric patients. Medicine Science. 2021;10(1):36-9.","DOI":"10.5455\/medscience.2020.10.207"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"3. Kassem F, Ebner Y, Nageris B et al. Cephalometric findings among children with velopharyngeal dysfunction following adenoidectomy - a retrospective study. Clin Otolaryngol. 2017;42(6):1289-1294.","DOI":"10.1111\/coa.12875"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"4. Khami M, Tan S, Glicksman JT, Husein M. Incidence and Risk Factors of Velopharyngeal Insufficiency Postadenotonsillectomy. 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Annals of Medical Research. 2020;27(7):1844-8. doi: 10.5455\/annalsmedres.2020.04.376.","DOI":"10.5455\/annalsmedres.2020.04.376"}],"container-title":["Wiadomo\u015bci Lekarskie"],"original-title":[],"language":"en","deposited":{"date-parts":[[2023,11,11]],"date-time":"2023-11-11T22:00:27Z","timestamp":1699740027000},"score":1,"resource":{"primary":{"URL":"https:\/\/wiadlek.pl\/wp-content\/uploads\/archive\/2023\/WLek202310.pdf"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023]]},"references-count":17,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2023]]},"published-print":{"date-parts":[[2023,10]]}},"URL":"https:\/\/doi.org\/10.36740\/wlek202310107","archive":["Internet Archive"],"relation":{},"ISSN":["0043-5147"],"issn-type":[{"value":"0043-5147","type":"print"}],"subject":[],"published":{"date-parts":[[2023]]}}}