Evaluation of Adenoidal Reproliferation after Adenotomy in Pediatric Sleep-Related Breathing Disorder

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  • 小児睡眠呼吸障害におけるアデノイド切除後の再増殖に関する検討
  • ショウニ スイミン コキュウ ショウガイ ニ オケル アデノイド セツジョ ゴ ノ サイゾウショク ニ カンスル ケントウ

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We retrospectively analyzed postoperative adenoid tissue proliferation after adenotomy in 41 cases of pediatric sleep-related breathing disorder. Subjects were 35 boys and 6 girls with an average age of 4 years and 8 months. Adenoid size was evaluated by lateral X-ray pre-and postoperatively every 6 months. Complete surgical adenoid resection was done in 27 cases (66%) and incomplete resection in 14 (34%), although residual adenoid size was very small and did not disturb nasal breathing postoperatively. Of the 41 cases, 11 (27%) showed postoperative adenoid tissue growth. 11 cases emerged after 6 months postoperatively. None showed reproliferation more than 18 months postoperatively. We found reproliferation in 6 of 27 complete excisions. At 3 years old. 5 of 6 cases showed the reproliferation despite successful adenoid resection. Healthcare professionals should thus monitor the postoperative adenoid proliferation in younger children.<br>

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