Abstract
We retrospectively analyzed postoperative adenoid tissue proliferation after adenotomy in 41 cases of pediatric sleep-related breathing disorder. Subjects were 35 boys and 6 girls with an average age of 4 years and 8 months. Adenoid size was evaluated by lateral X-ray pre-and postoperatively every 6 months. Complete surgical adenoid resection was done in 27 cases (66%) and incomplete resection in 14 (34%), although residual adenoid size was very small and did not disturb nasal breathing postoperatively. Of the 41 cases, 11 (27%) showed postoperative adenoid tissue growth. 11 cases emerged after 6 months postoperatively. None showed reproliferation more than 18 months postoperatively. We found reproliferation in 6 of 27 complete excisions. At 3 years old. 5 of 6 cases showed the reproliferation despite successful adenoid resection. Healthcare professionals should thus monitor the postoperative adenoid proliferation in younger children.
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