Tags

Type your tag names separated by a space and hit enter

The incidence of adenoidal regrowth after adenoidectomy and its effect on persistent nasal symptoms.
Eur Arch Otorhinolaryngol 2009; 266(4):469-73EA

Abstract

Objective of the study is to evaluate the effectiveness of adenoidectomy for children, to asses the rates of adenoidal regrowth and find out if the regrowth of adenoidal tissue affects persistent nasal symptoms post-surgery. A prospective study was carried out in the period of 2005-2007. The inclusion criteria for patients in the study were hypertrophic adenoid tissue and moderate or severe persistent nasal obstruction. One hundred and fifty children had undergone an adenoidectomy using consistent technique and visual control. Medium-term follow-up results were conducted 12-24 months (the mean follow-up period was 17.1 months) post-surgery, performing transnasal fibroscopy and completing the questionnaire. A total of 104 (69.3%) out of 150 patients polled. Children's parents answered the questions that were used for the subjective assessment of symptoms and to ascertain the history of the patient's nasal obstruction and upper respiratory tract infection prior to surgery. The age range was from 3 to 15, of which, 68 (65.3%) of them had undergone a transnasal fibroscopy. There was a significant reduction in symptoms that were displayed by children prior to the operation: there were 5.8% patients with nasal obstruction after the surgery, while incidences of upper airway infections dropped from 79.8 to 7.7% after surgery (P < 0.001). Eighty-six (82.7%) parents considered their child's well-being as "having improved" and they were "satisfied" with the results. Transnasal fibroscopy examinations identified some regrowth of adenoidal tissue in 13 cases (19.1%), with only 3 cases demonstrating adenoidal regrowth to grade 1. Adenoidal regrowth was correlative with the age of the patients (P = 0.048) and to numerous postoperative treatment with antibiotics (P = 0.032). Adenoids rarely regrow after surgery and where there were traces of adenoidal tissue, it did not manifest clinically. Nasal obstruction after the adenoidectomy is rhinogenic origin, not the cause of enlarged adenoids. Adenoidal regrowth more often occurs in children younger than five years old and in those patients who were treated postoperatively with antibiotics on numerous occasions.

Authors+Show Affiliations

Center of Ear, Nose and Throat Diseases, Vilnius University Hospital Santariskiu Clinics, Clinic of Ear, Nose, Throat and Eye Diseases, Vilnius University, Vilnius, Lithuania. eugenijus.lesinskas@santa.1tNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19093130

Citation

Lesinskas, Eugenijus, and Martynas Drigotas. "The Incidence of Adenoidal Regrowth After Adenoidectomy and Its Effect On Persistent Nasal Symptoms." European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated With the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, vol. 266, no. 4, 2009, pp. 469-73.
Lesinskas E, Drigotas M. The incidence of adenoidal regrowth after adenoidectomy and its effect on persistent nasal symptoms. Eur Arch Otorhinolaryngol. 2009;266(4):469-73.
Lesinskas, E., & Drigotas, M. (2009). The incidence of adenoidal regrowth after adenoidectomy and its effect on persistent nasal symptoms. European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated With the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 266(4), pp. 469-73. doi:10.1007/s00405-008-0892-5.
Lesinskas E, Drigotas M. The Incidence of Adenoidal Regrowth After Adenoidectomy and Its Effect On Persistent Nasal Symptoms. Eur Arch Otorhinolaryngol. 2009;266(4):469-73. PubMed PMID: 19093130.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The incidence of adenoidal regrowth after adenoidectomy and its effect on persistent nasal symptoms. AU - Lesinskas,Eugenijus, AU - Drigotas,Martynas, Y1 - 2008/12/18/ PY - 2008/10/08/received PY - 2008/12/03/accepted PY - 2008/12/19/entrez PY - 2008/12/19/pubmed PY - 2009/6/6/medline SP - 469 EP - 73 JF - European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery JO - Eur Arch Otorhinolaryngol VL - 266 IS - 4 N2 - Objective of the study is to evaluate the effectiveness of adenoidectomy for children, to asses the rates of adenoidal regrowth and find out if the regrowth of adenoidal tissue affects persistent nasal symptoms post-surgery. A prospective study was carried out in the period of 2005-2007. The inclusion criteria for patients in the study were hypertrophic adenoid tissue and moderate or severe persistent nasal obstruction. One hundred and fifty children had undergone an adenoidectomy using consistent technique and visual control. Medium-term follow-up results were conducted 12-24 months (the mean follow-up period was 17.1 months) post-surgery, performing transnasal fibroscopy and completing the questionnaire. A total of 104 (69.3%) out of 150 patients polled. Children's parents answered the questions that were used for the subjective assessment of symptoms and to ascertain the history of the patient's nasal obstruction and upper respiratory tract infection prior to surgery. The age range was from 3 to 15, of which, 68 (65.3%) of them had undergone a transnasal fibroscopy. There was a significant reduction in symptoms that were displayed by children prior to the operation: there were 5.8% patients with nasal obstruction after the surgery, while incidences of upper airway infections dropped from 79.8 to 7.7% after surgery (P < 0.001). Eighty-six (82.7%) parents considered their child's well-being as "having improved" and they were "satisfied" with the results. Transnasal fibroscopy examinations identified some regrowth of adenoidal tissue in 13 cases (19.1%), with only 3 cases demonstrating adenoidal regrowth to grade 1. Adenoidal regrowth was correlative with the age of the patients (P = 0.048) and to numerous postoperative treatment with antibiotics (P = 0.032). Adenoids rarely regrow after surgery and where there were traces of adenoidal tissue, it did not manifest clinically. Nasal obstruction after the adenoidectomy is rhinogenic origin, not the cause of enlarged adenoids. Adenoidal regrowth more often occurs in children younger than five years old and in those patients who were treated postoperatively with antibiotics on numerous occasions. SN - 1434-4726 UR - https://www.unboundmedicine.com/medline/citation/19093130/The_incidence_of_adenoidal_regrowth_after_adenoidectomy_and_its_effect_on_persistent_nasal_symptoms_ L2 - https://dx.doi.org/10.1007/s00405-008-0892-5 DB - PRIME DP - Unbound Medicine ER -