Regrowth of the Adenoids After Coblation Adenoidectomy: Cephalometric Analysis
Regrowth of the Adenoids After Coblation Adenoidectomy: Cephalometric Analysis
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DOI：
10.1002/lary.23984
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发表时间：
2013-10-01
期刊：
影响因子：
2.6
通讯作者：
Kim, Jeong-Whun
中科院分区：
文献类型：
--
作者：
Kim, So Young;Lee, Woo-Hyun;Kim, Jeong-Whun
Objective/HypothesisTo analyze the prevalence of adenoid regrowth at 1 year after coblation adenoidectomy using cephalometric radiography.Study DesignRetrospective analysis.MethodsOne hundred eight eight children who carried adenoidectomy from June 2006 through September 2010 were included.分析了人口统计学数据、术前腭扁桃体大小、过敏性鼻炎的存在、复发性中耳积液的同时手术以及术前和术后韩语版阻塞性睡眠呼吸暂停-18（KOSA-18）评分。术前、腺样体切除术后1个月分别测量腺样体大小3次，观察腺样体残留情况;结果25例腺样体切除术后1年内腺样体再生情况良好术后1个月X线头影测量发现腺样体残留11例（5.9%）。7/11例（63.6%）有残留疾病的儿童在1年时有腺样体再生。再生组明显年轻于无再生组，再生组术前腺样体大于无再生组。2例患者的睡眠呼吸障碍症状复发，并进行了修正腺样体切除术。结论腺样体在1年的再生率不低。然而，大多数患者无症状。腺样体残留1个月有助于1年后的再生，腺样体再生的危险因素是年龄较小和腺样体初始大小较大。喉镜，123：2568-2573，2013
Objectives/HypothesisTo analyze the prevalence of adenoid regrowth at 1 year after coblation adenoidectomy using cephalometric radiography.Study DesignRetrospective analysis.MethodsOne hundred eighty-eight children who underwent adenoidectomy from June 2006 through September 2010 were included. Demographic data, preoperative size of palatine tonsils, presence of allergic rhinitis, concurrent operation of recurrent middle ear effusion, and preoperative and postoperative Korean version of Obstructive Sleep Apnea-18 (KOSA-18) scores were analyzed. The size of the adenoids was measured three times in all the children by lateral cephalometry; preoperatively, at 1 month after adenoidectomy to observe adenoid residual; and at 1 year after surgery to observe adenoid regrowth.ResultsThe adenoid regrowth at 1 year after adenoidectomy was observed in 25 children (13.3%), and the adenoid residual at 1 month after surgery was observed in 11 children (5.9%) in the cephalometry. Seven of the 11 children with residual disease (63.6%) had adenoid regrowth at 1 year. The regrowth group was significantly younger than no regrowth group, and the preoperative adenoids were larger in regrowth group than in no regrowth group. The symptoms of sleep disordered breathing recurred in two patients and they had revision adenoidectomy.ConclusionThe regrowth rate of the adenoids at 1 year was not low. However, most of the patients were asymptomatic. The adenoid residual at 1 month contributed to regrowth at 1 year, and the risk factors of the adenoid regrowth were younger age and larger initial size of the adenoids.Level of Evidence2b. Laryngoscope, 123:2568-2573, 2013