Department of Otorhinolaryngology, Seoul, National University College of Medicine, Seoul, South Korea.
Laryngoscope. 2013 Oct;123(10):2567-72. doi: 10.1002/lary.23984. Epub 2013 Aug 5.
OBJECTIVES/HYPOTHESIS: To analyze the prevalence of adenoid regrowth at 1 year after coblation adenoidectomy using cephalometric radiography.
Retrospective analysis.
One 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.
The 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.
The 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.
2b.
目的/假设：通过头影测量分析腺样体吸切术后 1 年腺体重度生长的发生率。
回顾性分析。
纳入 2006 年 6 月至 2010 年 9 月间行腺样体切除术的 188 例儿童。分析人口统计学数据、术前腭扁桃体大小、变应性鼻炎、同期复发性中耳积液手术、术前和术后韩文阻塞性睡眠呼吸暂停-18 评分（KOSA-18）。所有儿童均行侧位头颅侧位片测量腺样体 3 次；术前、腺样体切除术后 1 个月观察腺样体残留；术后 1 年观察腺体重度生长。
188 例儿童中，术后 1 年 25 例（13.3%）发生腺体重度生长，头影测量发现 11 例（5.9%）患儿术后 1 个月存在腺样体残留。11 例残留患儿中，7 例（63.6%）术后 1 年发生腺体重度生长。重度生长组患儿年龄明显小于无生长组，且生长组患儿术前腺样体较大。2 例患者出现睡眠呼吸障碍症状复发，行腺样体切除术。
腺样体 1 年的复发率并不低，但多数患儿无症状。术后 1 个月的腺样体残留可导致 1 年后的腺体重度生长，腺样体重度生长的危险因素为年龄较小和初始腺样体较大。
2b 级。
