Department of Otolaryngology-Head and Neck Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 65-1 Geum-odong, Uijeongbu city, Gyeonggi-do, South Korea.
Department of Radiology, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu city, South Korea.
Eur Arch Otorhinolaryngol. 2020 May;277(5):1391-1395. doi: 10.1007/s00405-020-05852-9. Epub 2020 Feb 12.
Scar contracture commonly refers to decreased function in the scar area, whereas scar contraction refers to shortening of the scar length compared to the original wound. Wound scar remodeling occurs during months to years of wound healing to form a mature scar. Serial reports about patients who had undergone adenoidectomy are rare. Thus, the objective of this study was to evaluate some parameters of air way passage in patients who had undergone post adenoidectomy.
Data of patients who have undergone adenoidectomy between 2000 and 2002 in our hospital were obtained. A total of 154 head and neck CT scans from an adenoidectomy group and a control group were analyzed. We measured lengths of several areas, including the width of posterior wall of nasopharynx, the widest diameter in the upper air way, the length between both Eustachian tubes, the length between both pharyngeal recesses, and the anterior to posterior diameter of the nasopharynx. This study was approved by Institutional Review Board (IRB) of the Department of Otolaryngology Head and Neck Surgery of Catholic University (approval number: UC18RESI0130).
There were significant differences in the following parameters between the two groups: the width of posterior wall of nasopharynx and the length between both pharyngeal recesses.
Extensive removal of soft tissue or injured muscle layer during surgery might be one of the reasons for the narrowing of airway. Keeping in mind not to make much injury the soft tissue or muscles during adenoidectomy is very important for the long-term outcome of this surgery.
瘢痕挛缩通常是指瘢痕区域功能下降，而瘢痕收缩是指与原始伤口相比瘢痕长度缩短。在伤口愈合的数月至数年内，伤口瘢痕会发生重塑，形成成熟的瘢痕。关于接受腺样体切除术的患者的连续报告很少见。因此，本研究的目的是评估接受腺样体切除术后患者气道通道的一些参数。
获取了 2000 年至 2002 年期间在我院接受腺样体切除术的患者的数据。对腺样体切除术组和对照组的 154 例头颈部 CT 扫描进行了分析。我们测量了几个区域的长度，包括鼻咽后壁的宽度、上气道最宽直径、两侧咽鼓管之间的长度、两侧咽隐窝之间的长度以及鼻咽的前后直径。这项研究得到了天主教大学耳鼻喉头颈外科机构审查委员会（IRB）的批准（批准号：UC18RESI0130）。
两组之间的以下参数存在显著差异：鼻咽后壁的宽度和两侧咽隐窝之间的长度。
手术中广泛切除软组织或受损的肌肉层可能是气道变窄的原因之一。在进行腺样体切除术时，牢记不要对软组织或肌肉造成太大损伤，这对于该手术的长期效果非常重要。
