Till startsida
Webbkarta
Till innehåll Läs mer om hur kakor används på gu.se

Incidence of second surgery following pediatric adenotonsillar surgery: a population-based cohort study

Artikel i vetenskaplig tidskrift
Författare O. Sunnergren
Erik Odhagen
Joacim Stalfors
Publicerad i European Archives of Oto-Rhino-Laryngology
Volym 274
Nummer/häfte 7
Sidor 2945-2951
ISSN 0937-4477
Publiceringsår 2017
Publicerad vid Institutionen för kliniska vetenskaper, sektionen för anestesi, biomaterial och ortopedi, Avdelningen för öron-, näs- och halssjukdomar
Sidor 2945-2951
Språk English
Länkar dx.doi.org/10.1007/s00405-017-4543-...
Ämnesord Adenotonsillar surgery, Secondary surgery, Reoperation, Tonsilletomy, Adenoidectomy, Tonsillotomy, REVISION ADENOIDECTOMY, OBSTRUCTIVE SYMPTOMS, TONSILLECTOMY, TONSILLOTOMY, CHILDREN, SWEDEN, RISK
Ämneskategorier Oto-rino-laryngologi

Sammanfattning

The aim of the study is to evaluate the incidence and risk factors of a second surgery of the adenoids or tonsils for hypertrophy in children who have already undergone surgery for the same condition. This is a retrospective study (2004-2013) based on data from the National patient registry in Sweden. A total of 41,401 children underwent a first surgery of the adenoids or tonsils during the studied period. The most commonly performed (first) surgical procedure was adenoidectomy followed by adenotonsillotomy, adenotonsillectomy, tonsillotomy, and tonsillectomy. A total of 4459 patients underwent a second surgery for the same condition. The incidence of a second surgery was the highest in the primary adenoidectomy group (72.2, 95% CI 69.7-74.7) and lowest in the primary adenotonsillectomy group (14.2, 95% CI 12.6-15.9). A lower age at first surgery significantly increased the risk for a second surgery. A second surgery of the adenoids and tonsils due to lymphoid hypertrophy was common in the pediatric population. Adenoidectomy stands out in a negative way in most aspects of this study compared to the other types of first surgery. However, due to the design of this study, the results of this study cannot be taken as proof of a full adenotonsillectomy as the most appropriate first surgery in children with lymphoid upper airway obstruction. Nevertheless, the results clearly show that the topic needs to be addressed in future studies.

Sidansvarig: Webbredaktion|Sidan uppdaterades: 2012-09-11
Dela:

På Göteborgs universitet använder vi kakor (cookies) för att webbplatsen ska fungera på ett bra sätt för dig. Genom att surfa vidare godkänner du att vi använder kakor.  Vad är kakor?