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Incidence and Characteristics of Revision Adenoidectomy Among Pediatric Patients at King Abdulaziz University Hospital in Saudi Arabia

Background Adenoidectomy is the most commonly performed pediatric operation worldwide and one of the most frequent otorhinolaryngological procedures. It is a safe procedure with a low risk of complications. However, after a successful adenoidectomy, few patients experience symptoms of nasal obstruct...

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Autores principales: Alsharif, Shouq, Alessa, Sarah, Alshiqayhi, Salwa, AlAmoudi, Ebtihaj, Alobiri, Futoon, Amro, Sara, Alem, Hisham
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7268577/
https://www.ncbi.nlm.nih.gov/pubmed/32499985
http://dx.doi.org/10.7759/cureus.7945
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author Alsharif, Shouq
Alessa, Sarah
Alshiqayhi, Salwa
AlAmoudi, Ebtihaj
Alobiri, Futoon
Amro, Sara
Alem, Hisham
author_facet Alsharif, Shouq
Alessa, Sarah
Alshiqayhi, Salwa
AlAmoudi, Ebtihaj
Alobiri, Futoon
Amro, Sara
Alem, Hisham
author_sort Alsharif, Shouq
collection PubMed
description Background Adenoidectomy is the most commonly performed pediatric operation worldwide and one of the most frequent otorhinolaryngological procedures. It is a safe procedure with a low risk of complications. However, after a successful adenoidectomy, few patients experience symptoms of nasal obstruction, suggestive of adenoid regrowth. Because of various risk factors, patients require a revision adenoidectomy. This study aimed to determine the incidence of revision adenoidectomy at King Abdulaziz University Hospital (KAUH). Moreover, we aimed to identify the characteristics and factors that present a risk of revision adenoidectomy in pediatric patients. Materials and Methods We retrospectively reviewed the medical records of 680 pediatric patients (age below 18 years) of Saudi and non-Saudi descent who underwent a prior adenoidectomy with or without tonsillectomy, as well as those who underwent a revision adenoidectomy. The data from 2015 to 2018 were obtained from the hospital medical records using a data collection sheet. The data were entered on to a Microsoft excel sheet, and descriptive statistical analysis was performed using IBM SPSS software V21 (IBM Corp., Armonk, NY). Results The incidence of revision adenoidectomy at our center was 2.79%. We found significant relationships between comorbidities and revision adenoidectomy (p=0.014), initial adenoidectomy without tonsillectomy and revision adenoidectomy (p=0.001), and a young age at initial surgery and revision adenoidectomy. The mean age at initial adenoidectomy was 2.5 years (standard deviation [SD], ±0.607 years), whereas that at revision adenoidectomy was 1.89 years (SD, ±0.737 years). The mean interval between primary and revision adenoidectomies was 42.32 months (range, 9-86 months). Conclusion The incidence of revision adenoidectomy at KAUH was 2.79%. Moreover, only adenoidectomy without a tonsillectomy presented a high risk of adenoid regrowth necessitating a revision adenoidectomy. Therefore, we recommend counseling patients to undergo an adenoidectomy with tonsillectomy to reduce the risk of revision adenoidectomy.
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spelling pubmed-72685772020-06-03 Incidence and Characteristics of Revision Adenoidectomy Among Pediatric Patients at King Abdulaziz University Hospital in Saudi Arabia Alsharif, Shouq Alessa, Sarah Alshiqayhi, Salwa AlAmoudi, Ebtihaj Alobiri, Futoon Amro, Sara Alem, Hisham Cureus Otolaryngology Background Adenoidectomy is the most commonly performed pediatric operation worldwide and one of the most frequent otorhinolaryngological procedures. It is a safe procedure with a low risk of complications. However, after a successful adenoidectomy, few patients experience symptoms of nasal obstruction, suggestive of adenoid regrowth. Because of various risk factors, patients require a revision adenoidectomy. This study aimed to determine the incidence of revision adenoidectomy at King Abdulaziz University Hospital (KAUH). Moreover, we aimed to identify the characteristics and factors that present a risk of revision adenoidectomy in pediatric patients. Materials and Methods We retrospectively reviewed the medical records of 680 pediatric patients (age below 18 years) of Saudi and non-Saudi descent who underwent a prior adenoidectomy with or without tonsillectomy, as well as those who underwent a revision adenoidectomy. The data from 2015 to 2018 were obtained from the hospital medical records using a data collection sheet. The data were entered on to a Microsoft excel sheet, and descriptive statistical analysis was performed using IBM SPSS software V21 (IBM Corp., Armonk, NY). Results The incidence of revision adenoidectomy at our center was 2.79%. We found significant relationships between comorbidities and revision adenoidectomy (p=0.014), initial adenoidectomy without tonsillectomy and revision adenoidectomy (p=0.001), and a young age at initial surgery and revision adenoidectomy. The mean age at initial adenoidectomy was 2.5 years (standard deviation [SD], ±0.607 years), whereas that at revision adenoidectomy was 1.89 years (SD, ±0.737 years). The mean interval between primary and revision adenoidectomies was 42.32 months (range, 9-86 months). Conclusion The incidence of revision adenoidectomy at KAUH was 2.79%. Moreover, only adenoidectomy without a tonsillectomy presented a high risk of adenoid regrowth necessitating a revision adenoidectomy. Therefore, we recommend counseling patients to undergo an adenoidectomy with tonsillectomy to reduce the risk of revision adenoidectomy. Cureus 2020-05-03 /pmc/articles/PMC7268577/ /pubmed/32499985 http://dx.doi.org/10.7759/cureus.7945 Text en Copyright © 2020, Alsharif et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Otolaryngology
Alsharif, Shouq
Alessa, Sarah
Alshiqayhi, Salwa
AlAmoudi, Ebtihaj
Alobiri, Futoon
Amro, Sara
Alem, Hisham
Incidence and Characteristics of Revision Adenoidectomy Among Pediatric Patients at King Abdulaziz University Hospital in Saudi Arabia
title Incidence and Characteristics of Revision Adenoidectomy Among Pediatric Patients at King Abdulaziz University Hospital in Saudi Arabia
title_full Incidence and Characteristics of Revision Adenoidectomy Among Pediatric Patients at King Abdulaziz University Hospital in Saudi Arabia
title_fullStr Incidence and Characteristics of Revision Adenoidectomy Among Pediatric Patients at King Abdulaziz University Hospital in Saudi Arabia
title_full_unstemmed Incidence and Characteristics of Revision Adenoidectomy Among Pediatric Patients at King Abdulaziz University Hospital in Saudi Arabia
title_short Incidence and Characteristics of Revision Adenoidectomy Among Pediatric Patients at King Abdulaziz University Hospital in Saudi Arabia
title_sort incidence and characteristics of revision adenoidectomy among pediatric patients at king abdulaziz university hospital in saudi arabia
topic Otolaryngology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7268577/
https://www.ncbi.nlm.nih.gov/pubmed/32499985
http://dx.doi.org/10.7759/cureus.7945
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