title: Incidence of revision adenoidectomy in children.
abstract: OBJECTIVE
  Adenoidectomy is a frequently performed procedure in the pediatric population. Revision rates and indications for a second procedure in children are scarce.
  
  
  METHODS
  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.
authors: Connecticut Children's Medical Center, Hartford, Connecticut 06106, USA. chrisgrindle@gmail.com
authors: Christopher R
authors: CR
authors: Grindle
authors: Ryan C
authors: RC
authors: Murray
authors: Sri K
authors: SK
authors: Chennupati
authors: Patrick C
authors: PC
authors: Barth
authors: James S
authors: JS
authors: Reilly
mesh_terms: D000233:Adenoidectomy / Q000009:adverse effects / Q000379:methods*; D000234:Adenoids / Q000503:physiopathology / Q000601:surgery*; D017677:Age Distribution; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006776:Hospitals, Pediatric; D006801:Humans; D015994:Incidence; D008297:Male; D011183:Postoperative Complications / Q000601:surgery; D012008:Recurrence; D012086:Reoperation / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D017678:Sex Distribution; D016896:Treatment Outcome