Abstract | OBJECTIVES: The effectiveness of adenoidectomy in the management of pediatric sinusitis is still a controversial issue. The size of the adenoid and associated diseases are the factors for consideration. The adenoid has been studied and is proved to be a probable source of infection for the paranasal sinus. The purpose of this study is to evaluate the efficacy of adenoidectomy in reducing the frequency of sinusitis in children. METHODS: A prospective study was done in pediatric patients with rhinosinusitis admitted for adenoidectomy from January 2000 to January 2002. Pre-operative frequency of rhinosinusitis, underlying diseases and the diseases caused by the adenoid were recorded. The adenoid size was evaluated by lateral skull X-ray. The patients were followed after surgery and frequency of rhinosinusitis and associated diseases were compared with the pre-operative period. RESULTS: There were 37 patients with mean age of 6+/-2.8 years. Mean duration for pre-operative review was 436.7 days and mean duration for post-operative follow up was 450.2 days. Almost all (92%) of the patients had obstructive sleep disorder and 88.2% had adenoid-nasopharyngeal ratio >0.7. There was a statistically significant reduction of episodes per year of rhinosinusitis and obstructive sleep disorder after surgery (P-value < 0.001 and 0.008, respectively). CONCLUSIONS:
Adenoidectomy was proved to be effective in the management of pediatric rhinosinusitis in this series. Adenoidectomy should be most beneficial as a surgical option before endoscopic sinus surgery (ESS), especially in younger children with obstructive symptoms.
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Authors | Kitirat Ungkanont, Siri Damrongsak |
Journal | International journal of pediatric otorhinolaryngology
(Int J Pediatr Otorhinolaryngol)
Vol. 68
Issue 4
Pg. 447-51
(Apr 2004)
ISSN: 0165-5876 [Print] Ireland |
PMID | 15013612
(Publication Type: Journal Article)
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Topics |
- Adenoidectomy
(methods)
- Child
- Child, Preschool
- Cohort Studies
- Follow-Up Studies
- Humans
- Hypersensitivity
(complications)
- Middle Ear Ventilation
- Otitis Media with Effusion
(complications, surgery)
- Paranasal Sinuses
(diagnostic imaging, surgery)
- Prospective Studies
- Radiography
- Rhinitis
(complications, surgery)
- Risk Factors
- Sinusitis
(complications, surgery)
- Sleep Apnea, Obstructive
(complications)
- Tonsillectomy
- Treatment Outcome
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