Department of Otorhinolaryngology, Children's Hospital of Nanjing Medical University, Jiangsu, PR China.
Ear Nose Throat J. 2024 Dec;103(12):769-772. doi: 10.1177/01455613231199676. Epub 2023 Sep 12.
Adenoidectomy is widely used to cure sleep-disordered breathing symptoms in children, torus tubarius hypertrophy (TTH) after adenoidectomy causing recurred snoring, sleep apnea, nasal obstruction, or mouth breathing was rarely reported, and the causes of TTH are still unclear. To report a rare complication TTH after adenoidectomy, and the features of TTH. A total of 36 pediatric patients with TTH diagnosed by our hospital from January 2017 to 2023 were included in this study. All children were treated conservatively for a month at first, and 13 patients underwent partial resection of TTH. The influencing factors (sex, age, allergic rhinitis [AR], and first operation way) were analyzed. There were 36 patients with TTH: 27 boys and 9 girls. The age of the first operation ranged from 20 to 63 months, and the interval time of TTH after operation ranged from 3 to 55 months. Thirteen patients underwent partial resection of TTH. Thirteen children had definite symptoms and signs of AR. TTH is a rare complication after adenoidectomy, which is common in male children (75.0%) and in patients who took adenoidectomy before the age of 5 years (94.4%). TTH can occur as early as 3 months after adenoidectomy. AR and the operation way might have relationships with TTH.
腺样体切除术被广泛用于治疗儿童睡眠呼吸障碍症状，但腺样体切除术后 torus tubarius 肥大（TTH）引起的复发性打鼾、睡眠呼吸暂停、鼻塞或口呼吸却很少见，其病因仍不清楚。本文报告了一例罕见的腺样体切除术后 TTH 并发症，并对其特征进行了描述。
本研究共纳入了我院自 2017 年 1 月至 2023 年诊断的 36 例 TTH 患儿。所有患儿均首先接受了为期 1 个月的保守治疗，其中 13 例患儿接受了 TTH 部分切除术。分析了影响 TTH 发生的因素（性别、年龄、变应性鼻炎[AR]和首次手术方式）。
TTH 患儿共 36 例，其中男 27 例，女 9 例。首次手术年龄为 20-63 个月，TTH 术后间隔时间为 3-55 个月。13 例行 TTH 部分切除术。13 例患儿均有明确的 AR 症状和体征。
TTH 是腺样体切除术后罕见的并发症，多见于男性儿童（75.0%）和 5 岁以下行腺样体切除术的患儿（94.4%）。TTH 可在腺样体切除术后 3 个月内发生。AR 和手术方式可能与 TTH 有关。
