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This presentation demonstrates use of the Image 1® SPIES™ visual enhancement system components in performing an endoscopic adenoidectomy. The procedure was performed by Pamela Poole, MD, at CEDIMAT, Santo Domingo, Dominican Republic. Dr. Poole used the SPIES Clara™ and SPIES Chroma™ modules with a KARL STORZ H3-Z camera head and 4mm scope.