Liapi A, Dhanasekar G, Turner N O
Department of Otolaryngology, Manor Hospital, Walsall, UK.
J Laryngol Otol. 2006 Mar;120(3):219-21. doi: 10.1017/S0022215106005585. Epub 2006 Jan 27.
We aimed to determine the need for revision adenoidectomy following the standard technique of blind curettage with digital palpation.
Within a district general hospital, we undertook a retrospective study of 3231 children who underwent adenoidectomy between 1996 and 2003, 53 of whom required revision adenoidectomy. The main outcome measure was the number of children needing revision adenoidectomy.
A total of 53 children required a repeated operation for recurrence of symptoms (1.6 per cent); of these, 42 were for treatment of glue ear, five were for nasal symptoms and six were for adenoidal infection.
Adenoidectomy performed without vision may be one of the reasons for recurrence of symptoms. Residual adenoids are acknowledged in the literature as one of the complications of the traditional technique. We highlight the fact that the need for revision adenoidectomy is not uncommon and suggest that we should improve our surgical technique in the UK by visualization of the postnasal space either by a mirror or an endoscope.
我们旨在确定采用数字触诊盲目刮除的标准技术后进行腺样体切除术修正的必要性。
在一家地区综合医院内，我们对1996年至2003年间接受腺样体切除术的3231名儿童进行了回顾性研究，其中53名需要进行腺样体切除术修正。主要观察指标是需要进行腺样体切除术修正的儿童数量。
共有53名儿童因症状复发需要再次手术（1.6%）；其中，42名是为了治疗分泌性中耳炎，5名是为了治疗鼻部症状，6名是为了治疗腺样体感染。
盲目进行的腺样体切除术可能是症状复发的原因之一。文献中公认残留腺样体是传统技术的并发症之一。我们强调腺样体切除术修正的必要性并不罕见这一事实，并建议在英国通过使用镜子或内窥镜观察鼻后间隙来改进我们的手术技术。
