الفهرس 
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Abstract
The aim of this work was to study the use and advantage of endoscopic removal of adenoids in children and adolescents using the rigid endoscope.
This study was carried out on 40 patients with clinical signs and symptomes suggestive of adenoid enlargement.
All the patients included in this study were subjected to thorough history taking and complete E.N.T. examination. The commonest symptoms were nasal obstruction, mouth breathing,
snoring, hyponsal speech and nasal discharge. Repeated throat infection or recurrent tonsilitis were significantly recorded.
Posterior rhinoscopy was found to be difficult and unreliable specially in young children. Digital palpation of the nasopharynx was also found to be distressing to the children or their parents and gives rough idea in diagnosis of enlarged adenoids. Adenoid fades fulfilling all its criteria was not common and should not be waited for.
Endoscopic assessment of the nasopharynx was done for all the cases in the theatre before the procedure of endoscopic adenoidecto-
my, under general anaesthesia using the rigid nasopharyngolaryngo-
scope. In the majority of cases, the transoral approach was done to avoid the narrow nasal passages in young children or deviated septum in adolescents and adults. 30,70, and 90 degree telescopes were used. The 90 degree telescope was found to be of convenient