Incidence of revision adenoidectomy in children.

Publication/Presentation Date

10-1-2011

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.

Volume

121

Issue

10

First Page

2128

Last Page

2130

ISSN

1531-4995

Disciplines

Medicine and Health Sciences

PubMedID

21898445

Department(s)

Department of Pediatrics, Department of Surgery, Division of Otolaryngology

Document Type

Article

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