Retrospective Analysis of Children Undergoing Revision Adenoidectomy

Özet

Objective: The aim of this study is to assess revision ade-noidectomy rates in our pediatric patient population, and to identify con-tributing factors. Material and Methods: A retrospective review was made of the medical and surgical records of patients aged 0-18 years who under-went adenoidectomy using the blind curettage method, between March 2013 and March 2019 in our department. Out of the 1.841 patients who underwent adenoidectomy (n:629), adenoidectomy and ventilation tube insertion (n:403), adenotonsillectomy (n:752), adenotonsillectomy and ventilation tube insertion (n:57), 31 required revision adenoidectomy procedure. Thirty-one patients were examined in the study. Four of 31 patients underwent second revision adenoidectomy. The outcomes were investigated, including the ini-tial surgery, first and second revision surgery procedure types, as well as data on gender, age at the time of the procedures, and the time interval between the procedures, and medical diagnoses such as asthma, allergic rhinitis and gastroesophageal reflux. Results: Of the 1.841 patients who underwent ini-tial adenoidectomy, 31 (1.68%) underwent revision adenoidectomy. Among these patients, four (0.21%) underwent a second revision adenoidectomy. Of the patients, 45.2% (n=14) were female and 54.8% (n=17) were male. The age of the children included in the study at the time of initial adenoidectomy, first and second revision adenoidectomy were 5.91±1.89, 7.36±1.82, and 8.47±1.89 years respectively. The mean interval between the initial ade-noidectomy and the first revision adenoidectomy was 1.43±0.69 years. Dur-ing the initial adenoidectomy procedure, children underwent adenoidectomy in 4 cases (12.9%), adenoidectomy and ventilation tube insertion in 22 cases (%71), adenotonsillectomy in 3 cases (9.6%), adenotonsillectomy and ven-tilation tube insertion in 2 cases (6.5%). During the first revision surgery, children underwent adenoidectomy in 3 cases (9.7%), adenoidectomy and tube insertion in 26 cases (83.9%), adenotonsillectomy and tube insertion in 2 cases (6.5%). All of the children who underwent second revision surgery underwent an adenoidectomy and tube procedure. Of the children, 16.1% (n=5) had allergic asthma, 80.6% (n=25) had allergic rhinitis and 3.2% (n=1) had reflux. Conclusion: In the present study, the incidence of revision ade-noidectomy was 1.68 %. Of the patients who underwent revision ade-noidectomy, 83.9% were patients with ventilation tubes due to otitis media with effusion.