Children’s Snoring
Christopher R. Grindle MD, et al.,
The Laryngoscope, Volume 121, Issue 10, pages 2128–2130, October 2011
The incidence of revision adenoidectomy in children
Adenoidectomy is a frequently performed procedure in the pediatric population. Revision rates and indications for a second procedure in children are scarce.
Study methods:
- Patient records at a multistate pediatric healthcare system were searched for all procedures that included adenoidectomy in children less than 12 years of age for a 5-year period (2005–2010)
- A subset of patients was identified for whom the same adenoidectomy codes appeared more than once in this 5-year period
- The indication, age, gender, adenoid size, and technique of adenoidectomy were recorded
Results:
- A total of 23,612 occurrences of the adenoidectomy codes were identified
- The subset of patients with multiple adenoidectomy codes, indicating revision adenoidectomy, included 304 records (1.3%)
- Mean age at first procedure was 2.8 years (SD = 1.7 years). Mean age at second procedure was 4.7 years (SD = 1.99 years)
- Mean interval between procedures was 1.8 years (SD = 1.1 years)
Conclusions:
Revision adenoidectomy occurs at a rate of 1.3%.
Reasons for revision adenoidectomy include persistence symptoms ranging from adenoiditis to recurrent otitis to obstructive sleep apnea.