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Outcomes and safety of adenoidectomy in infants up to 12 months of age compared to older children

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Abstract

Purpose

To evaluate the safety and outcomes of adenoidectomy for the treatment of sleep disordered breathing (SDB) in infants up to 12 months of age as compared to children ages 13–72 months

Methods

A retrospective analysis was performed by reviewing the medical records of children who underwent adenoidectomy from 2005 to 2018. The data of older age groups were also collected for comparison. The patients were divided into three groups: up to 12 months (infants), 13–36 months (toddlers) and 37–72 months (preschool). The data were collected from electronic medical records and from a telephone survey based on a modified version of the OSA-18 questionnaire. Postoperative complications, and short and long-term outcomes were compared.

Results

Twenty-one patients met the inclusion criteria for the main study group (infants). They were compared with forty-four toddlers and thirty-two preschoolers. Among the infants, four (19%) needed additional surgical intervention, none of the toddlers and four (12.5%) preschoolers. There were no differences in subjective outcomes between age groups (p = 0.365) in the first year after surgery. One year after surgery, outcomes remained similar in all age groups (p = 0.302) with regard to SDB, but subjective improvements in mouth breathing and nasal discharge were better among the older children (p = 0.011 and p = 0.012), respectively.

Conclusion

The outcomes of adenoidectomy for the treatment of SDB in infants up to 12 months of age is similar to children ages 13–72 months.

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Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

  1. Department of Otolaryngology, Meir Medical Center, 59 Tchernichovsky St., 4428164, Kfar Saba, Israel

    Avishai Stahl, Or Dagan, Benny Nageris & Yaniv Ebner

  2. Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel

    Benny Nageris

Authors
  1. Avishai Stahl
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  2. Or Dagan
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  3. Benny Nageris
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  4. Yaniv Ebner
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Corresponding author

Correspondence to Avishai Stahl.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

The study was approved by the local institutional review board on 1 October 2018.

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Informed consent was not required.

Meeting information

Annual Meeting of The Israeli Society of Otolaryngology, Head and Neck Surgery, 3/2019, Eilat, Israel.

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Stahl, A., Dagan, O., Nageris, B. et al. Outcomes and safety of adenoidectomy in infants up to 12 months of age compared to older children. Eur Arch Otorhinolaryngol 277, 2611–2617 (2020). https://doi.org/10.1007/s00405-020-06047-y

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  • DOI: https://doi.org/10.1007/s00405-020-06047-y

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