جستجوی مقالات مرتبط با کلیدواژه « برداشتن لوزه سوم » در نشریات گروه « پزشکی »

Adenotonsillectomy is one of the most common surgeries in children, which may be associated with a risk of recurrence of the related symptoms. The aim of this study was to determine the prevalence and possible predisposing and associated factors of adenoid regrowth in children under 15 years old in Besat Hospital in Hamadan.
In this analytic-descriptive study, all the patients less than 15 years old who underwent adenoidectomy or adenotonsillectomy in Besat Hospital in Hamadan City between 2010 and 2016 were reviewed. The charts of the patients underwent revision adenoidectomy were evaluated and their demographic data, clinical findings such as recurrence symptoms, history of allergy, reflux, and the time interval between the first and second surgeries, and the predisposing and associated factors of adenoid hypertrophy recurrence were recorded. The data were analyzed using descriptive statistics with SPSS 16 software.
From a total of 2787 patients with adenoidectomy (2571 cases with adenotonsillectomy), 37 cases (1.3%) underwent revision adenoidectomy. Of 37 revision adenoidectomies, 48.65% were in females and 51.35% e in males. The mean age at the primary adenoidectomy was 5.16 and at the secondary (revision) adenoidectomy was 9.04 years. The mean of interval was 3.87 years between the surgeries. Also, 27% of the patients were passive smoker, 18.9% had a history of reflux and 10.8% had a history of allergic rhinitis. The most common chief complaints of the adenoid regrowth were snoring (35.1%) and mouth breathing (25.9%).
According to the results of the present study, adenoid re-growth in children under 15 years is not common (1.3%) and the predisposing factors of adenoid hypertrophy recurrence were passive smoking, reflux and allergic rhinitis, respectively. It is recommended that nasopharyngeal endoscopy be performed after the adenoid surgery.

One of the probable causes of enuresis is an obstruction in upper airway and especially adenotonsillar hypertrophy. Adenotonsillectomy may be an effective treatment in some cases. This study carried out with patients suffering from adenotonsillar hypertrophy. To determine the incidence of enuresis and the effects of surgery on it. The study was conducted on 100 children aged 3-12 years with Adenotonsilar hypertrophy in 5-Azar Hospital who were candidates for Adenotonislectomy. They were examined by an otolaryngologist and، if needed، by a urologist. UA and UC were done for all of them، and data were recorded in a questionnaire. The results were evaluated 1 and 3 months post surgery، and finally the collected data were analyzed by SPSS software. The present study was conducted on 100 children consisting of 49 males and 51 females، aged between 3- 12 years (mean 7. 68). The prevalence of enuresis was found to be 9%، and its rate among the males was twice that of the females. One month after surgery، complete improvement in 22-2% and partial improvement in 33-3% of the cases were observed. The general improvement after 3 months was 54. 3%. Taking into account the correlations between adenotonsilar hypertrophy، enuresis and improved enuresis following surgery، the relative improvement of enuresis can serve as an indication for surgery in patients with adenotonsilar hypertrophy.