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Management of Adenoid Hypertrophy in Allergic Children, How Effective Is Surgery?
Saturday, March 5, 2016
South Exhibit Hall H (Convention Center)
Omursen Yildirim, MD, Yusuf O Ucal, Andreea I. Popescu, Mehmet F Sonmez, Serhat A Erdogan
Rationale:
The aim of our study was to explore the role of allergy in the recurrence of adenoid
hypertrophy after the surgical removal.

Methods:

285 children aged between 6 and 15 who underwent adenoidectomy for adenoid
hypertrophy from two different centers were enrolled. All the children were assessed
before and after surgery by nasal symptom scores and nasal fiberoptic endoscopy. Skin
prick tests were performed with common aeroallergens including house dust mites
(HDM), cockroach, Alternaria, animal dander, tree, grass, ragweed and mugwort pollens.
In order to eliminate the inadequate surgery factor, a month after surgery patients were
reassessed and children with visible residual adenoid tissues on nasal endoscopy were
excluded. Children with allergic rhinitis received guideline directed treatment. Twelve
months postoperatively, all the children were re-examined and the adenoid regrowth rates
of allergic and non allergic children were compared

Results:

Thirteen children were excluded due to the presence of residual adenoid tissue and 57 due
to the lack of cooperation with endoscopic examination. Of the remaining 215 children,
65 had at least one positive skin prick test. Visible recurrence was observed in 16 children
in the allergic group (24.6%) and 17 in the non-allergic group (11.33%). The prevalence
of recurrence was higher in the allergic group and this finding was found to be
statistically significant (p<0.005). HDM and Alternaria were the predominant allergens in
the allergic group with recurrence.

Conclusions:

Our findings suggest that allergic rhinitis is associated with a high probability of
recurrence after adenoidectomy, possibly caused by immunological events in nasopharynx associated with allergic sensitization.