Adenoidectomy was performed by the first author at an academic tertiary care pediatric hospital using an adenotome
, and the specimens obtained from two different parts of the nasopharyngeal surface of adenoid tissue were cut with a knife by an otolaryngologist.
The traditional surgical technique, which is performed blindly or under the view of laryngeal mirror using an adenoid curette or adenotome
, has been challenged for inadequate reduction of hypertrophic adenoid tissue, especially in situations of involvement over the intranasal region, nasopharyngeal roof, and peritubal and retrotubal (pharyngeal recess) regions [1-5].
Adenoidectomy was performed via curettage with an adenotome
, and hemostasis achieved by temporarily packing the nasopharynx with sponges soaked in epinephrine.
One little-used procedure is a superior adenoidectomy performed with an adenotome
. This procedure was first described by Birrell  in 1966 and later by Shapiro,  but since then it has been mentioned only occasionally.