Background: Remnant of adenoidal tissue is a common sequel of conventional curettage adenoidectomy. Choanal remnant is one of the causes of persistent symptoms.

Aim of Work: To report the incidence of choanal remnants after curettage adenoidectomy, and to verify their exact site of origin.

Methods: 102 children aged between 3 and 12 years with primary adenoid hypertrophy (62 males and 40 females) were subjected to surgical removal of the adenoids by curettage. The endoscope was utilized to assess any remnant ̸ s, and their site ̸ s, with a special concern to choanal remnants.

Results: Adenoidal remnants were detected in 94 patients (92.2%). Twenty-four patients (23.5%) presented with choanal remnants; 6 patients had true origin from the choana, while the remaining 18 patients had an origin from the roof of the nasopharynx.

Conclusion: Adenoid residual is a common finding after blind curettage adenoidectomy. Remnants discovered at the choana are not always truly choanal in origin.

Keywords: Choanal adenoid, Conventional adenoidectomy, Curettage, Adenoidal remnants, Residual, Recurrence.