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Post-adenoidectomy quality of life in children with refractory chronic rhinosinusitis

V Bettadahalli1, A Chakravarti1

  • 1Department of Otorhinolaryngology,Lady Hardinge Medical College,New Delhi,India.

The Journal of Laryngology and Otology
|July 19, 2017
PubMed

Insights

Adenoidectomy significantly improves quality of life for children with chronic rhinosinusitis. This surgery is a simple, effective first-line treatment for refractory cases.

Area of Science:

  • Otolaryngology
  • Pediatric Surgery

Background:

  • Chronic rhinosinusitis (CRS) significantly impacts children's quality of life.
  • Refractory CRS in pediatric patients often requires advanced treatment strategies.

Purpose of the Study:

  • To evaluate the impact of adenoidectomy on the quality of life in children diagnosed with refractory chronic rhinosinusitis.
  • To assess symptom resolution and quality of life improvements following adenoidectomy.

Main Methods:

  • Prospective interventional study involving 60 children aged 4-12 years with refractory CRS.
  • Pre- and post-operative assessments included nasal endoscopy, CT scans, symptom evaluation, and quality of life questionnaires.

Main Results:

  • The most common symptoms were nasal obstruction (100%), cough (90%), fever (85%), and fatigue (81.7%).
  • Nasal endoscopy revealed edema and discharge in all participants.
  • A statistically significant improvement in sinus and nasal quality of life was observed in 88.3% of children post-adenoidectomy.

Conclusions:

  • Adenoidectomy is an effective first-line surgical intervention for pediatric chronic rhinosinusitis refractory to medical management.
  • The procedure leads to a substantial improvement in the quality of life for affected children.
Abstract

Keywords:
AdenoidectomyQuality of LifeSinusitis

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