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Effects of adenoidectomy in children with symptoms of adenoidal hypertrophy
Osman Bahadir1, Refik Caylan, Devrim Bektas
1Department of Otorhinolaryngology, Karadeniz Technical University School of Medicine, 61080, Trabzon, Turkey. bahadiro67@yahoo.com.tr
Insights
Adenoidectomy significantly improved preoperative symptoms like nasal obstruction and mouth breathing in children. Most parents reported satisfaction, highlighting the procedure
Area of Science:
- Otolaryngology
- Pediatric Surgery
Background:
- Adenoid hypertrophy is a common condition in children, often leading to significant symptoms.
- Symptoms include nasal obstruction, mouth breathing, snoring, and hearing issues, impacting quality of life.
Purpose of the Study:
- To evaluate the effectiveness of adenoidectomy in resolving preoperative symptoms in children.
- To assess parent satisfaction following adenoidectomy.
Main Methods:
- Prospective, uncontrolled study involving 60 children with adenoid hypertrophy.
- Symptoms were recorded preoperatively and two months post-adenoidectomy.
- Procedures included adenoidectomy with myringotomy and/or tympanostomy tube placement.
Main Results:
- 88.3% of children experienced complete resolution of preoperative symptoms.
- Persistent symptoms in a small subset included nasal obstruction, mouth breathing, snoring, and hearing loss.
- Parent satisfaction was high, with 88.3% of parents satisfied with the outcome.
Conclusions:
- Adenoidectomy is an effective treatment for improving symptoms associated with adenoid hypertrophy in children.
- The procedure demonstrates a high success rate and leads to significant parent satisfaction.
Abstract:
The purpose of this study was to compare the preoperative symptoms of children who had adenoid hypertrophy with postadenoidectomy symptoms. Sixty children undergoing adenoidectomy were included in this prospective uncontrolled study at the Farabi Hospital of Karadeniz Technical University, an academic tertiary medical center. The symptoms of each child were described by their parents. Adenoidectomy with myringotomy alone or with tympanostomy tube placement was performed in all children. Two months after the operation, the children were re-evaluated for remaining or residual symptoms. Nasal obstruction, mouth breathing, snoring, hearing loss and nasal discharge were present preoperatively in 55 (91.6%), 51 (85%), 50 (83%), 28 (46%) and 45 (75%), respectively. We found that 53 of 60 children (88.3%) completely recovered from their preoperative symptoms. Of the remaining seven patients, four had persistent nasal obstruction, five mouth breathing, three snoring and two hearing loss. We also noted that the parents of 53 of 60 children were satisfied after the operation. Adenoidectomy provided significant relief and improvement of preoperative presenting symptoms, and it also showed a high rate of parent satisfaction.
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