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Do adenoids regrow after excision?

F J Buchinsky1, M A Lowry, G Isaacson

  • 1Department of Otolaryngology, Temple University Health Sciences Center, Philadelphia, PA 19141, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|November 15, 2000
PubMed
Summary
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Adenoid regrowth after adenoidectomy is rare. Most children who had surgery did not experience significant adenoid regrowth causing nasal obstruction symptoms.

Area of Science:

  • Otolaryngology
  • Pediatric Surgery

Background:

  • Adenoidectomy is a common surgical procedure for children with persistent nasal obstruction.
  • Concerns exist regarding potential adenoid regrowth and its impact on long-term outcomes.

Purpose of the Study:

  • To investigate the incidence of symptomatic adenoidal regrowth following adenoidectomy.
  • To assess the extent of adenoid regrowth in children experiencing persistent nasal obstruction.

Main Methods:

  • A cross-sectional follow-up study involved 175 children who underwent adenoidectomy 2-5 years prior.
  • Nasopharyngoscopy was utilized to evaluate children with ongoing nasal obstruction symptoms.

Main Results:

  • Twenty-six percent of patients reported symptoms of nasal airway obstruction at follow-up.

Related Experiment Videos

  • Of those who underwent nasopharyngoscopy, none had adenoids occupying over 40% of the nasopharynx; most had minimal regrowth.

    • Conclusions:

    • Symptomatic adenoidal regrowth after adenoidectomy is uncommon.
    • Adenoidectomy techniques involving visualization and electrocautery of the adenoid bed appear to minimize significant regrowth.