Do repeated adenoidctomy challenging the post adenoidectomy bleeding control

doi:10.15406/joentr.2020.12.00455

Journal of

eISSN: 2379-6359

Otolaryngology-ENT Research

Research Article Volume 12 Issue 2

Do repeated adenoidctomy challenging the post adenoidectomy bleeding control

Abdelaziz Qobty,¹

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Ali S Al-Qahtani,² Ali Almothahbi,³ Nadiah Al Hariri⁴

¹ENT Surgeon Kku, Kingdom of Saudi Arabia
²Associate Professor of ORL-HNS at Aseer Central hospital, Kingdom of Saudi Arabia
³ENT Surgeon at Aseer Central Hospital Abha, Kingdom of Saudi Arabia
⁴Medical Student College of Medicine, King Khalid University Abha, Kingdom of Saudi Arabia

Correspondence: Abdelaziz Qobty, King Khalid University, Abha City, Kingdom of Saudi Arabia, Tel +966501510911

Received: March 24, 2020 | Published: April 15, 2020

Citation: Qobty A, Al-Qahtani AS, Almothahbi A, et al. Do repeated adenoidctomy challenging the post adenoidectomy bleeding control. J Otolaryngol ENT Res. 2020;12(2):50?52. DOI: 10.15406/joentr.2020.12.00455

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Abstract

Objective: The aim of this study was to analyse the data of patients underwent adenoidectomy in Otorhinolaryngological practice, and determine the incidence of adenoid regrowth after adenoidectomy evaluate complications of surgery& challenging in management of these complications.

Setting: Tertiary referral centre.

Methods: Retrospective study over 5 years of all adenoidectomy cases at Aseer central hospital during the period from January 2013 to January 2017. Patient’s demographic data, recurrent cases and post op complications were analysed.

Results: A total 201 cases underwent adenoidectomy 117 (58.2%) Male and 84(41.8%) were female. The age range was from1 year to 9year; . shows that 98.0% of the sample have (No Recurrence), 2.0% ( 4 cases ) have (Recurrence Underwent 2ND Adenoidctomy.95.5% of the sample don’t have complications, 4.5% ( 9 cases ) have (complications)which is bleeding per mouth , 7 cases managed surgically and 2 cases managed conservative.

Conclusion: Adenoid regrowth after adenoidectomy is rare about 2% & most common complications noticed is bleeding per mouth.

Keywords: adenoid regrowth, post op bleeding, surgical management

Introduction

Adenoid regrowth after adenoidectomy is rare the aim of this study was to analyse the data of patients underwent adenoidectomy in Otorhinolaryngological practice, and determine the incidence of adenoid regrowth after adenoidectomy evaluate complications of surgery.

Methods

Research approved by Ethics & research Committee of Aseer tertiary Hospital, Abha, city in Saudi Arabia, we reviewed the files of all patients who underwent adenoidectomy between 2013 -2017 were analysed.

Results

A total 201 cases underwent adenoidectomy 117(58.2%) Male and 84(41.8%) were female. The age range was from1 year to 9 year. shows that 98.0% of the sample have (No Recurrence), 2.0%(4 cases) have (Recurrence Underwent 2ND Adenoidctomy. 95.5% of the sample don’t have complications, 4.5%(9 cases) have (complications) which is bleeding per mouth, 7 cases managed surgically and 2 cases managed conservative (Tables 1-6). In recurrent cases surgeon faced no difficulty in controlling the bleeding (Figures 1-6).^1–10

Distribution of the sample by age
Age	Frequency	Percent
<3 years	46	22.5
3-6 years	85	41.7
>6years	70	34.3
Total	201	98.5

Table 1 shows that 41.7% of the sample are (3-6 years), 34.3% (>6years) and 22.5% (<3years) as shown as in Figure 1

Distribution of the sample by Gender
Gender	Frequency	Percent
Male	117	58.2
Female	84	41.8
Total	201	98.5

Table 2 shows that 58.2% of the sample are (Male), 41.8% Female) as shown as in Figure 2

Distribution of the sample by Recurrence
Recurrence	Frequency	Percent
No recurrence	197	98.0
Recurrence underwent 2NDadenoidectomy	4	2.0
Total	201	100.0

Table 3 shows that 98.0% of the sample have (No Recurrence), 2.0% have (Recurrence Underwent 2NDAdenoidctomy) as shown as in Figure 3

Distribution of the sample by complications
Complications	Frequency	Percent
No	192	95.5
Yes	9	4.5
Total	201	100.0

Table 4 shows that 95.5% of the sample don’t have complications, 4.5% have (complications) as shown as in Figure 4

Distribution of the sample by Hemorrage
Hemorrage	Frequency	Percent
Primary hemorrage	6	66.67
Secondary hemorrage	3	33.33
Total	9	100.0

Table 5 shows that 66.67 of the complications are (Primary Hemorrage), 33.33 of the complications are (Secondary Hemorrage) as shown as in Figure 5

Distribution of the sample by complications
Post op hemorrage management	Frequency	Percent
No hemorrage	192	96.02
Conservative managment	2	1.00
Surgical managment	7	3.5
Total	201	100.0

Table 6 shows that 96.02% of the sample are (No Hemorrage), 1% of cases managed conservarive, 3.5 of cases managed in OR as shown as in Figure 6

Figure 1 Distribution of the sample by age.

Figure 2 Distribution of the sample by Gender.

Figure 3 Distribution of the sample by Recurrence.

Figure 4 Distribution of the sample by Complications.

Figure 5 Distribution of the sample by Hemorrage.

Figure 6 Distribution of the sample by (Post op Hemorrage Management).

Discussion

The adenoid, It is a soft tissue swelling located in the nasopharynx. Excsion of the adenoid is a operation known adenoidectomy. Adenoiditis may cause symptoms like purulent rhino rhea .Adenoidectomy is the surgical excision of the adenoid for alot of causes include nasal obstruction with mouth breathing, recurrent infections, or persistant otitis media with effusion. The adenoid is much less in adult which regress in this age group or absent and more common in children which consider one of the most paediatric elective surgeries.

Conclusion

Adenoid regrowth after adenoidectomy is rare about 2% & Most common complications noticed is bleeding per mouth which is life threating condition need urgent treatment other conservative or surgically control in OR, study shows no significant difficulty in management between post adenoidectomy bleeding as first time or recurrence cases, recurrent cases seem not challenging the surgeon to manage the complications.