Revision adenoidectomy in children: residual vs regrowth?

Elhassan, H A; Bozkurt, Gülpembe; Emre, İsmet Emrah

doi:10.1007/s00405-017-4850-y

Cited by 3 publications

(1 citation statement)

References 5 publications

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“…Elhassan et al [12] reported that blind curettage adenoidectomy has a risk of inadequate removal of all adenoid tissue in up to 80% of patients, and digital nasopharyngeal palpation does not adequately assess adenoid removal. However, their patients who underwent endoscopic examination at the end of the procedure had a 0.85% revision adenoidectomy rate over a 2-year period, this means that most residuals were small and not threatening the airway.…”

Section: Discussionmentioning

confidence: 99%

The benefits of endoscopic look after curettage adenoidectomy

Abdel‐Aziz

Nassar

Nashed

et al. 2020

Egypt J Otolaryngol

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Background Conventional curettage adenoidectomy (CCA) has a risk of incomplete removal of all adenoid tissue, and digital nasopharyngeal palpation is not enough to assess adenoid removal. The aim of this study was to evaluate the benefits of trans-oral endoscopic look of the nasopharynx (ELN) after CCA. Results This prospective study included 1900 children with adenoid hypertrophy. CCA was used for treatment, followed by ELN. Bleeding points and/or adenoid tissue remnants were recorded and managed. One year postoperatively, nasal endoscopy was performed to detect adenoid regrowth. ELN showed bleeding points in 17 patients (0.9%) and residual adenoid tissue remnants in 855 patients (45%). Intraoperatively, the lesions were cauterized and ablated under visualization. However, adenoid regrowths were detected in 263 (42%) out of 627 children (33%) who were subjected to endoscopic examination after 1 year of adenoid removal. Conclusions Trans-oral endoscopic look of the nasopharynx after CCA is a beneficial method in detection of adenoid remnants and bleeding points. Also, it could decrease symptomatic adenoid regrowth postoperatively.

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Section: Discussionmentioning

confidence: 99%

The benefits of endoscopic look after curettage adenoidectomy

Abdel‐Aziz

Nassar

Nashed

et al. 2020

Egypt J Otolaryngol

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The effect of torus tubarius size on upper airway aerodynamics in children: a computational fluid dynamics study

Feng,

Xie,

Yang

et al. 2024

Eur Arch Otorhinolaryngol

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Partial resection of hypertrophic torus tubarius for recurred snoring

2020

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Sleep-disordered breathing symptoms may recur in some children after successful adenoidectomy. A potential etiology that warrants consideration is torus tubarius hypertrophy (TTH) as well as residual or recurrent adenoid hypertrophy. Here, we report our experience and the treatment outcomes with microscopic coblator-assisted partial resection of TTH. Seven children who had undergone coblator-assisted partial resection of TTH under microscopy from April 2000 through January 2017 were retrospectively reviewed. The patient age at the time of initial adenotonsillectomy and the interval between the first operation and partial resection of TTH were identified. Lateral cephalometry and scores on the Korean version of the obstructive sleep apnea-18 (KOSA-18) questionnaire were reviewed. The median age at the time of the first operation was 3.0 years and the average time interval between the first operation and subsequent tubal tonsillectomy was 44.0 months. The average width between the torus tubarius was 2.1 mm preoperatively. Symptoms of sleep-disordered breathing were relieved in all patients after operation. Preoperative and postoperative KOSA-18 scores were 73.5 and 35.5, respectively ( P = .024). On polysomnography, the preoperative and postoperative apnea-hypopnea index scores were 22.9 and 4.7, respectively ( P = .068). The patients were followed up for an average of 1.3 years. One patient developed a recurrence of symptoms and underwent a revision operation. Complications such as bleeding and nasopharyngeal stenosis were not observed. Otorhinolaryngologists should keep TTH in mind as one of the differential diagnoses for recurrent upper airway obstruction symptoms after adenoidectomy. Microscopic coblator-assisted partial resection of TTH is likely to be safe and effective.

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Revision adenoidectomy in children: residual vs regrowth?

Cited by 3 publications

References 5 publications

The benefits of endoscopic look after curettage adenoidectomy

The benefits of endoscopic look after curettage adenoidectomy

The effect of torus tubarius size on upper airway aerodynamics in children: a computational fluid dynamics study

Partial resection of hypertrophic torus tubarius for recurred snoring

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