title: Impact of partial and total tonsillectomy on adenoid regrowth.
abstract: To compare the rates of adenoid regrowth in children who underwent total tonsillectomy and adenoidectomy (TA) versus partial intracapsular tonsillectomy and adenoidectomy (ITA).
  
  
  
  Retrospective cohort study.
  
  
  
  A medical database was used to retrieve the records of 5,120 children younger than 12 years of age who had an adenoidectomy in combination with a tonsil surgery between April 2008 and September 2014. Children who had symptomatic obstructive sleep apnea without a history of recurrent tonsillitis, and underwent an endoscopic adenoidectomy with a microdebrider, in addition to a traditional tonsillectomy or partial tonsillectomy with coblation, were included in the study. Adenoid regrowth was evaluated in the children who completed at least a 1-year follow-up. The sizes of adenoids were subjectively graded and reported based upon a numerical scale.
  
  
  
  In total, 1,504 and 1,340 children met the inclusion, and were comprised of ITA and TA groups, respectively. Adenoid regrowth was seen in 98 (7.3%) children in the TA group after 1-year follow-up. Symptomatic adenoid regrowth was seen in 19 (1.4%) children in the TA group. In the ITA group, although 71 (4.7%) children had adenoid regrowth, only one (0.06%) reached grade 3 hypertrophy that could be attributed to nasal obstruction at 1-year follow-up. Comparison of the regrowth rates of both groups at the end of the 1-year follow-up period showed a statistically significant difference (P < .001).
  
  
  
  ITA seems to be a safe procedure with a low incidence of regrowth of adenoid tissue in children with adenotonsillar hypertrophy when compared to TA.
  
  
  
  4. Laryngoscope, 127:753-756, 2017.
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, Yildirim Beyazit University School of Medicine, Ankara, Turkey.
authors.forename: Mehmet Ali
authors.initials: MA
authors.lastname: Babademez
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, Bitlis Tatvan State Hospital, Bitlis, Turkey.
authors.forename: Fatih
authors.initials: F
authors.lastname: Gul
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, Elaziğ Training and Research Hospital, Elaziğ, Turkey.
authors.forename: Engin
authors.initials: E
authors.lastname: Muz
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, Ataturk Training and Research Hospital, Ankara, Turkey.
authors.forename: Togay
authors.initials: T
authors.lastname: Muderris
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, Ataturk Training and Research Hospital, Ankara, Turkey.
authors.forename: Hayati
authors.initials: H
authors.lastname: Kale
mesh_terms: D000233:Adenoidectomy / Q000009:adverse effects / Q000379:methods*; D000234:Adenoids / Q000254:growth & development*; D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D016208:Databases, Factual; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D012008:Recurrence; D012086:Reoperation / Q000639:trends; D012189:Retrospective Studies; D018570:Risk Assessment; D012737:Sex Factors; D014068:Tonsillectomy / Q000009:adverse effects / Q000379:methods*; D014069:Tonsillitis / Q000175:diagnosis / Q000601:surgery
keywords: Adenoidectomy; adenoidal regrowth; partial intracapsular tonsillectomy; tonsillectomy