Factors Associated with Revision Adenoidectomy
Autor: | Admire Kuchena, Laura J. Orvidas, Amy C. Dearking, Brian D. Lahr |
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Rok vydání: | 2012 |
Předmět: |
Male
Reoperation medicine.medical_specialty medicine.medical_treatment MEDLINE Adenoid Adenoidectomy Risk Factors medicine Humans Child Retrospective Studies Tonsillectomy Asthma business.industry Patient Selection Training level Age Factors Medical comorbidity Retrospective cohort study Hypertrophy medicine.disease Surgery medicine.anatomical_structure Otorhinolaryngology Child Preschool Adenoids Gastroesophageal Reflux Female business |
Zdroj: | Otolaryngology–Head and Neck Surgery. 146:984-990 |
ISSN: | 1097-6817 0194-5998 |
Popis: | To determine whether patient factors (eg, indication for initial surgery, medical comorbidity, or age) are associated with adenoid regrowth and subsequent need for revision adenoidectomy and whether surgical factors (eg, surgical technique or level of surgeon's training) are associated with adenoid regrowth and subsequent need for revision adenoidectomy.Historical cohort study.Tertiary care academic medical center.Children (≤18 years) who underwent adenoidectomy or adenotonsillectomy between 1980 and May 2009 were identified. Medical and surgical records were reviewed for sex, age at surgery, indication for surgery, training level of surgeon, surgical technique, and history of allergies, asthma, or gastroesophageal reflux disease.Of 8245 surgical cases (53.8% male), 163 were revision adenoidectomies. Age at initial adenoidectomy was a significant factor for revision adenoidectomy, with younger ages associated with higher increased risk. Indication for adenoidectomy was also a significant risk factor; adjusted for age, patients with ear rather than infectious indications were about 10 times more likely to require revision. A diagnosis of gastroesophageal reflux disease was a significant risk factor (hazard ratio, 2.23; P = .002).Several risk factors are associated with revision adenoidectomy: young age at initial procedure, indication for adenoidectomy, and diagnosis of gastroesophageal reflux disease. Surgical technique, level of experience of the initial surgeon, and diagnosis of asthma or allergies were not significant risk factors for revision adenoidectomy. |
Databáze: | OpenAIRE |
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