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Incidence of revision adenoidectomy in children

Authors

  • Christopher R. Grindle MD,

    Corresponding author
    1. Connecticut Children's Medical Center, Hartford, Connecticut, U.S.A
    2. Thomas Jefferson University, Philadelphia, Pennslyvania, U.S.A
    • Division of Otolaryngology—Head and Neck Surgery, Connecticut Chiildren's Medical Center, 282 Washington Street Hartford, CT 06106
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  • Ryan C. Murray MD,

    1. Nemours–AI duPont Hospital for Children, Wilmington, Deleware, U.S.A
    2. Thomas Jefferson University, Philadelphia, Pennslyvania, U.S.A
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  • Sri K. Chennupati MD,

    1. Drexel University College of Medicine, Philadelphia, Pennsylvania, U.S.A
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  • Patrick C. Barth MD,

    1. Nemours–AI duPont Hospital for Children, Wilmington, Deleware, U.S.A
    2. Thomas Jefferson University, Philadelphia, Pennslyvania, U.S.A
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  • James S. Reilly MD

    1. Nemours–AI duPont Hospital for Children, Wilmington, Deleware, U.S.A
    2. Thomas Jefferson University, Philadelphia, Pennslyvania, U.S.A
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  • The authors have no financial disclosures for this article.

  • The authors have no conflicts of interest to disclose.

Abstract

Objective/Hypothesis:

Adenoidectomy is a frequently performed procedure in the pediatric population. Revision rates and indications for a second procedure in children are scarce.

Study Design:

Retrospective cohort study.

Methods:

Patient records at a multistate pediatric healthcare system were searched for all CPT codes that included adenoidectomy in children less than 12 years of age for a 5-year period (2005–2010). A subset of patients was identified for whom the same CPT codes appeared more than once in this 5-year period. The indication, age, gender, adenoid size, and technique of adenoidectomy were recorded.

Results:

A total of 23,612 occurrences of the CPT codes were identified. The subset of patients with multiple CPT codes, indicating revision adenoidectomy, included 304 records (1.3%). Mean age at first procedure was 2.8 years (SD = 1.7 years). Mean age at second procedure was 4.7 years (SD = 1.99 years). Mean interval between procedures was 1.8 years (SD = 1.1 years).

Conclusions:

Revision adenoidectomy occurs at a rate of 1.3%. Reasons for revision include persistence symptoms ranging from adenoiditis to recurrent otitis to obstructive sleep apnea.

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