Hostname: page-component-848d4c4894-nr4z6 Total loading time: 0 Render date: 2024-05-31T12:37:35.986Z Has data issue: false hasContentIssue false
  • English
  • Français

Regrowth of the adenoids after adenoidectomy down to the pharyngobasilar fascial surface

Published online by Cambridge University Press:  08 July 2015

L Wei ,
M Wang ,
N Hua ,
K Tong ,
L Zhai  and
Z Wang
L Wei
Affiliation:
Otolaryngology Department, Affiliated Zhongshan Hospital of Dalian University, China
M Wang
Affiliation:
Otolaryngology Department, Affiliated Zhongshan Hospital of Dalian University, China
N Hua
Affiliation:
Otolaryngology Department, Affiliated Zhongshan Hospital of Dalian University, China
K Tong
Affiliation:
Otolaryngology Department, Affiliated Zhongshan Hospital of Dalian University, China
L Zhai
Affiliation:
Otolaryngology Department, Affiliated First Hospital of Dalian Medical University, China
Z Wang*
Affiliation:
Otolaryngology Department, Affiliated Zhongshan Hospital of Dalian University, China
*
Address for correspondence: Dr Z Wang, Otolaryngology Department, Affiliated Zhongshan Hospital of Dalian University, 6 Jiefang Street, ZhongShan District, Dalian 116001, China Fax: +86-411-62893555 E-mail: wangzqx@163.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives:

This study aimed to explore adenoid regrowth after transoral power-assisted adenoidectomy down to the pharyngobasilar fascial surface.

Methods:

Transoral adenoidectomy down to the pharyngobasilar fascia surface was performed on 39 patients under endoscopic guidance, using a power-assisted system. The operation time, amount of blood loss and iatrogenic injury, presence of complications, and success and regrowth rates were recorded to assess the feasibility, safety and effectiveness of our surgical technique.

Results:

In this adenoidectomy procedure, the pharyngobasilar fascia was left intact. The estimated blood loss was 5–50 ml (mean 15 ml), and the success rate was 97.3 per cent. Early complications occurred in 2.3 per cent of patients, while no long-term complications occurred in the cohort. No regrowth was found in the follow-up assessments, which were performed for 18–36 months after surgery.

Conclusion:

Adenoid regrowth was rare after adenoidectomy down to the pharyngobasilar fascial surface. The pharyngobasilar fascia can therefore be considered a surgical boundary for adenoidectomy.

Keywords

AdenoidsAdenoidectomyNasopharynxFasciaEndoscopes
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 7 , July 2015 , pp. 662 - 665
Copyright
Copyright © JLO (1984) Limited 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Powell, SM, Tremlett, M, Bosman, DA. Quality of life of children with sleep-disordered breathing treated with adenotonsillectomy. J Laryngol Otol 2011;125:193–8CrossRefGoogle ScholarPubMed
2Pagella, F, Pusateri, A, Canzi, P, Caputo, M, Marseglia, A, Pelizzo, G et al. The evolution of the adenoidectomy: analysis of different power-assisted techniques. Int J Immunopathol Pharmacol 2011;24:55–9CrossRefGoogle ScholarPubMed
3Duval, M, Chung, JC, Vaccani, JP. A case-control study of repeated adenoidectomy in children. JAMA Otolaryngol Head Neck Surg 2013;139:32–6CrossRefGoogle ScholarPubMed
4Joshua, B, Bahar, G, Sulkes, J, Shpitzer, T, Raveh, E. Adenoidectomy: long-term follow-up. Otolaryngol Head Neck Surg 2006;135:576–80CrossRefGoogle ScholarPubMed
5Dearking, AC, Lahr, BD, Kuchena, A, Orvidas, LJ. Factors associated with revision adenoidectomy. Otolaryngol Head Neck Surg 2012;146:984–90CrossRefGoogle ScholarPubMed
6Williams, PL, Bannister, LH. Gray's Anatomy: The Anatomical Basis of Medicine and Surgery. London: Churchill Livingstone, 1995Google Scholar
7Hoang, JK, Branstetter, BFt, Eastwood, JD, Glastonbury, CM. Multiplanar CT and MRI of collections in the retropharyngeal space: is it an abscess? AJR Am J Roentgenol 2011;196:426–32CrossRefGoogle ScholarPubMed
8Macoveanu, G, Costinescu, VN, Hamarsheh, AK. Parapharyngeal space--history and surgical study. Rev Med Chir Soc Med Nat Iasi 2011;115:820–5Google ScholarPubMed
9Cassano, P, Gelardi, M, Cassano, M, Fiorella, ML, Fiorella, R. Adenoid tissue rhinopharyngeal obstruction grading based on fiberendoscopic findings: a novel approach to therapeutic management. Int J Pediatr Otorhinolaryngol 2003;67:1303–9CrossRefGoogle ScholarPubMed
10Graham, JM, Scadding, GK, Bull, PD. Pediatric ENT. Berlin, Heidelberg: Springer-Verlag, 2007Google Scholar
11Fujioka, M, Young, LW, Girdany, BR. Radiographic evaluation of adenoidal size in children: adenoidal-nasopharyngeal ratio. AJR Am J Roentgenol 1979;133:401–4CrossRefGoogle ScholarPubMed
12Buchinsky, F. J., Lowry, M. A., Isaacson, G. Do adenoids regrow after excision? Otolaryngol Head Neck Surg 2000;123: 576–81CrossRefGoogle ScholarPubMed
13Songu, M, Altay, C, Adibelli, ZH, Adibelli, H. Endoscopic-assisted versus curettage adenoidectomy: a prospective, randomized, double-blind study with objective outcome measures. Laryngoscope 2010;120:1895–9CrossRefGoogle ScholarPubMed
14El-Badrawy, A, Abdel-Aziz, M. Transoral endoscopic adenoidectomy. Int J Otolaryngol 2009;2009:949315CrossRefGoogle ScholarPubMed
15Jong, YH, Gendeh, BS. Transoral endoscopic adenoidectomy: initial experience. Med J Malaysia 2008;63:81–3Google ScholarPubMed
16Rodriguez, K, Murray, N, Guarisco, JL. Power-assisted partial adenoidectomy. Laryngoscope 2002;112:26–8CrossRefGoogle ScholarPubMed
17Stanislaw, P Jr., Koltai, PJ, Feustel, PJ. Comparison of power-assisted adenoidectomy vs adenoid curette adenoidectomy. Arch Otolaryngol Head Neck Surg 2000;126:845–9CrossRefGoogle ScholarPubMed
18Cannon, CR, Replogle, WH, Schenk, MP. Endoscopic-assisted adenoidectomy. Otolaryngol Head Neck Surg 1999;121:740–4CrossRefGoogle ScholarPubMed
19Koltai, PJ, Kalathia, AS, Stanislaw, P, Heras, HA. Power-assisted adenoidectomy. Arch Otolaryngol Head Neck Surg 1997;123:685–8CrossRefGoogle ScholarPubMed
20Wong, L, Moxham, JP, Ludemann, JP. Electrosurgical adenoid ablation. J Otolaryngol 2004;33:104–6CrossRefGoogle ScholarPubMed
21Kim, SY, Lee, WH, Rhee, CS, Lee, CH, Kim, JW. Regrowth of the adenoids after coblation adenoidectomy: cephalometric analysis. Laryngoscope 2013;123:2567–72CrossRefGoogle ScholarPubMed
22Ozturk, O, Polat, S. Comparison of transoral power-assisted endoscopic adenoidectomy to curettage adenoidectomy. Adv Ther 2012;29:708–21CrossRefGoogle ScholarPubMed
23Monroy, A, Behar, P, Brodsky, L. Revision adenoidectomy – a retrospective study. Int J Pediatr Otorhinolaryngol 2008;72:565–70CrossRefGoogle ScholarPubMed
24Sapthavee, A, Bhushan, B, Penn, E, Billings, KR. A comparison of revision adenoidectomy rates based on techniques. Otolaryngol Head Neck Surg 2013;148:841–6CrossRefGoogle ScholarPubMed
25Liapi, A, Dhanasekar, G, Turner, NO. Role of revision adenoidectomy in paediatric otolaryngological practice. J Laryngol Otol 2006;120:219–21CrossRefGoogle ScholarPubMed
26Skilbeck, CJ, Tweedie, DJ, Lloyd-Thomas, AR, Albert, DM. Suction diathermy for adenoidectomy: complications and risk of recurrence. Int J Pediatr Otorhinolaryngol 2007;71:917–20CrossRefGoogle ScholarPubMed
27Jonas, NE, Sayed, R, Prescott, CA. Prospective, randomized, single-blind, controlled study to compare two methods of performing adenoidectomy. Int J Pediatr Otorhinolaryngol 2007;71:1555–62CrossRefGoogle ScholarPubMed
28Reed, J, Sridhara, S, Brietzke, SE. Electrocautery adenoidectomy outcomes: a meta-analysis. Otolaryngol Head Neck Surg 2009;140:148–53CrossRefGoogle ScholarPubMed
29Lesinskas, E, Drigotas, M. The incidence of adenoidal regrowth after adenoidectomy and its effect on persistent nasal symptoms. Eur Arch Otorhinolaryngol 2009;266:469–73CrossRefGoogle ScholarPubMed