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Revision adenoidectomy in children: a meta-analysis
1Department of Otolaryngology, Taipei Hospital, Ministry of Health and Welfare, New Taipei City, Taiwan; Department of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan; Department of Nursing, Hsin Sheng Junior College of Medical Care and Management, Taoyuan, Taiwan.
Rhinology
|August 13, 2019
Summary
Revision adenoidectomy occurs in 1.9% of pediatric cases. Current evidence does not link specific surgical techniques to revision rates in children undergoing adenoidectomy.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Evidence-Based Medicine
Background:
- Adenoidectomy is a common pediatric surgical procedure.
- Revision surgery may be required due to regrowth or persistent symptoms.
- Understanding revision rates is crucial for optimizing patient outcomes.
Purpose of the Study:
- To estimate the overall rate of revision surgery after pediatric adenoidectomy.
- To compare revision rates based on patient conditions and surgical techniques.
Main Methods:
- Systematic literature search of PubMed, MEDLINE, EMBASE, and Cochrane databases.
- Pooled analysis of 16 studies involving 95,727 children using a random-effect model.
- Subgroup analyses conducted for various settings, countries, risk of bias, and surgical techniques.
Main Results:
- The overall rate of revision adenoidectomy was found to be 1.9%.
- No significant association was found between age at surgery/follow-up and revision rates.
- Surgical techniques (curettage, suction cautery, microdebridement, coblation) did not significantly impact revision rates.
Conclusions:
- Revision surgery following pediatric adenoidectomy occurs in 1.9% of cases.
- There is insufficient evidence to establish a correlation between specific surgical techniques and revision rates.
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