Torus Tubarius Hypertrophy After Adenoidectomy

Area of Science:

• Otolaryngology
• Pediatric Surgery

Background:

• Adenoidectomy is a common procedure for pediatric sleep-disordered breathing.
• Torus tubarius hypertrophy (TTH) is a rarely reported complication after adenoidectomy.
• The etiology of TTH post-adenoidectomy remains unclear.

Purpose of the Study:

• To document the rare complication of TTH following adenoidectomy.
• To characterize the clinical features of TTH in pediatric patients.

Main Methods:

• A retrospective study of 36 pediatric patients diagnosed with TTH from 2017-2023.
• Initial conservative management for one month.
• Analysis of influencing factors including sex, age, allergic rhinitis (AR), and surgical technique.

Main Results:

• 36 patients diagnosed with TTH (27 males, 9 females).
• TTH occurred 3-55 months post-adenoidectomy, with initial surgery between 20-63 months.
• 13 patients had confirmed allergic rhinitis; 13 underwent partial TTH resection.

Conclusions:

• TTH is a rare pediatric complication of adenoidectomy, predominantly seen in males (75%) and children under five (94.4%).
• TTH can manifest as early as 3 months post-surgery.
• Allergic rhinitis and surgical method may be associated with TTH development.