[Repeated adenoidectomy and prevention of the recurrence of adenoid hypertrophy]

Basing on comprehensive clinical experience and the analysis of long- and short-term results of adenotomy, the author evaluates the effectiveness of this procedure, the causes of residual nasal respiration problems. The main reason of postoperative incomplete restoration of nasal respiration is suggested to be nonradical removal of the adenoid tissue which may result from specific features of the adenoids size, location, anatomical structure of the nasopharynx, the surgeon's equipment and experience, etc. The author thinks postadenotomy nasal problems should be managed with repeat operation which is recommended in the literature and has been practiced by the author for 30 years with the overall efficacy of 90%. Clinical symptoms, indications to repeat surgery are provided. Repeat adenotomy in a few days after the initial operation permits the author to reduce the percent of the vegetations recurrences in many patients.