An Eight-Year Case ControlStudy Identifying Predictors of Adenoid Recurrence
Journal Title: International Journal of Otorhinolaryngology - Year 2017, Vol 4, Issue 2
Abstract
Objectives: To determine the rate of revision adenoidectomy and to identify the risk factors associated with adenoid recurrence. In addition, we reviewed preoperative lateral neck x-Ray to see if adenoid size measurements could predict recurrence. Design: A 1:1 matched retrospective case-control study. Results: The rate of revision adenoidectomy was 2.74%.The mean age at first adenoidectomy was significantly lower in the revision adenoidectomy group. There was a strong association between adenoidectomy without tonsillectomy and repeated adenoidectomy. In addition, a diagnosis of OSA and other medical disorders including bronchial asthma and allergic rhinitis was a strong predictor of revision surgery. Hypertrophy of adenoid based on endoscopic examination indicates that patients with large adenoid size were more likely to require repeated procedure. Conclusion: We identified five risk factors for adenoid recurrence. Children younger than 5 years, patients with concurrent OSA, children who had undergone an adenoidectomy alone without tonsillectomy, concomitant diagnosis of medical disorders, and patients with large adenoid size on nasal endoscopy.
Authors and Affiliations
Talal Alkhatib
Keywords
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- EP ID EP246605
- DOI 10.13188/2380-0569.1000020
- Views 119
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