Ramadan Hassan H, Tiu Jeremy
Department of Otolaryngology-Head and Neck Surgery, West Virginia University, Morgantown, West Virginia 26506-9200, USA.
Laryngoscope. 2007 Jun;117(6):1080-3. doi: 10.1097/MLG.0b013e31804154b1.
To determine which children who are treated with adenoidectomy for chronic rhinosinusitis (CRS) will ultimately undergo endoscopic sinus surgery (ESS) and the length of time between adenoidectomy and ESS.
Retrospective chart review of prospectively collected data in a tertiary pediatric otolaryngology service.
One hundred forty-three children had adenoidectomy for CRS over a 10-year period. Follow-up was available on 121 children. Sixty-one children failed the procedure. Data were available on 55 children who underwent ESS after failing adenoidectomy for the treatment of CRS. Mean time from adenoidectomy to ESS was determined. Factors such as age, allergic rhinitis, asthma, computed tomography (CT) score, and sex were evaluated for effects on this time.
With use of Cox regression analysis, the mean time from adenoidectomy to ESS was 24 months, ranging from 4 to 77 months. The presence of asthma (P < .04) and age less than 7 years (P < .01) were predictors of earlier failure. Allergic rhinitis (P < .3), CT score (P < .9), and sex (P < .3) showed no effect.
Those who fail adenoidectomy for CRS who require ESS are mainly children who are younger than 7 years of age and have asthma. They appear to require a salvage ESS at a mean of 24 months after the adenoidectomy.
确定哪些因慢性鼻-鼻窦炎（CRS）接受腺样体切除术的儿童最终会接受鼻内镜鼻窦手术（ESS）以及腺样体切除术与ESS之间的时间间隔。
对一家三级儿科耳鼻喉科前瞻性收集的数据进行回顾性病历审查。
在10年期间，143名儿童因CRS接受了腺样体切除术。对121名儿童进行了随访。61名儿童手术失败。有55名因CRS腺样体切除术后失败而接受ESS的儿童的数据。确定了从腺样体切除术到ESS的平均时间。评估了年龄、变应性鼻炎、哮喘、计算机断层扫描（CT）评分和性别等因素对这段时间的影响。
使用Cox回归分析，从腺样体切除术到ESS的平均时间为24个月，范围为4至77个月。哮喘的存在（P < 0.04）和年龄小于7岁（P < 0.01）是早期失败的预测因素。变应性鼻炎（P < 0.3）、CT评分（P < 0.9）和性别（P < 0.3）无影响。
因CRS腺样体切除术后失败而需要ESS的主要是年龄小于7岁且患有哮喘的儿童。他们似乎在腺样体切除术后平均24个月需要补救性ESS。
