Incidence of revision adenoidectomy in children

✍ Scribed by Christopher R. Grindle; Ryan C. Murray; Sri K. Chennupati; Patrick C. Barth; James S. Reilly

• Book ID: 102452330
• Publisher: John Wiley and Sons
• Year: 2011
• Tongue: English
• Weight: 71 KB
• Volume: 121
• Category: Article
• ISSN: 0023-852X
• DOI: 10.1002/lary.22161

✦ Synopsis

Abstract

Objective/Hypothesis:

Adenoidectomy is a frequently performed procedure in the pediatric population. Revision rates and indications for a second procedure in children are scarce.

Study Design:

Retrospective cohort study.

Methods:

Patient records at a multistate pediatric healthcare system were searched for all CPT codes that included adenoidectomy in children less than 12 years of age for a 5‐year period (2005–2010). A subset of patients was identified for whom the same CPT codes appeared more than once in this 5‐year period. The indication, age, gender, adenoid size, and technique of adenoidectomy were recorded.

Results:

A total of 23,612 occurrences of the CPT codes were identified. The subset of patients with multiple CPT codes, indicating revision adenoidectomy, included 304 records (1.3%). Mean age at first procedure was 2.8 years (SD = 1.7 years). Mean age at second procedure was 4.7 years (SD = 1.99 years). Mean interval between procedures was 1.8 years (SD = 1.1 years).

Conclusions:

Revision adenoidectomy occurs at a rate of 1.3%. Reasons for revision include persistence symptoms ranging from adenoiditis to recurrent otitis to obstructive sleep apnea.