成人鼻手术后腺样体肥大的自发性消退。

IF 1.9 3区医学 Q2 OTORHINOLARYNGOLOGY

European Archives of Oto-Rhino-Laryngology Pub Date : 2025-03-26 DOI:10.1007/s00405-025-09341-9

Filippo Cascio, Ferdinando Stagno d'Alcontres, Daria Costanzo, Francesco Gazia

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引用次数: 0

摘要

目的：本研究的目的是分析鼻手术患者严重腺样体肥大可能自发消退的情况。方法：按照纳入标准，回顾性选择83例成人患者。这些患者在进行鼻中隔成形术、双侧或单侧鼻甲肥大缩小术和/或鼻窦内窥镜手术（ESS）之前，其特征是二级至四级腺样体肥大。结果：6.8%（83/1220）鼻手术患者存在腺样体肥大（2-3-4级）。在术前和术后肥大程度方面，鼻手术后腺样体大小明显减小(p)。结论：所有接受鼻手术的患者均出现严重腺样体肥大的自发消退。在鼻手术中避免腺样体切除术对患者来说应该是一个很大的优势，消除了出血和不受控制的疤痕等并发症的可能性。

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Spontaneous regression of adenoid hypertrophy in adults after nasal surgery.

Purpose: The aim of this study is to analyse the possible spontaneous regression of severe adenoid hypertrophy in patients who performed nasal surgery.

Methods: Following the inclusion criteria, 83 adult patients were retrospective selected. These patients were characterized by adenoid hypertrophy from second to fourth grade before performing septoplasty andbilateral or monolateral reduction of hypertrophy of the turbinates and/or endoscopical sinus surgery (ESS).

Results: Adenoid hypertrophy (grade 2-3-4) can be noted in 6.8% (83/1220) of patients who performed nasal surgery. Regarding the grade of hypertrophy before and after surgery, a clear decrease in adenoid size was obtained after nasal surgery (p < 0.001), without performing adenoidectomy, after at least one year of follow-up.

Conclusion: Spontaneous regression of severe adenoid hypertrophy was observed in all patients who performed nasal surgery. Avoid adenoidectomy during nasal surgery should be a great advantage for patients, eliminating the possibility of complications such as bleeding and uncontrolled scars.

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来源期刊

European Archives of Oto-Rhino-Laryngology 医学-耳鼻喉科学

CiteScore

5.30

自引率

7.70%

发文量

537

审稿时长

2-4 weeks

期刊介绍： Official Journal of European Union of Medical Specialists – ORL Section and Board Official Journal of Confederation of European Oto-Rhino-Laryngology Head and Neck Surgery "European Archives of Oto-Rhino-Laryngology" publishes original clinical reports and clinically relevant experimental studies, as well as short communications presenting new results of special interest. With peer review by a respected international editorial board and prompt English-language publication, the journal provides rapid dissemination of information by authors from around the world. This particular feature makes it the journal of choice for readers who want to be informed about the continuing state of the art concerning basic sciences and the diagnosis and management of diseases of the head and neck on an international level. European Archives of Oto-Rhino-Laryngology was founded in 1864 as "Archiv für Ohrenheilkunde" by A. von Tröltsch, A. Politzer and H. Schwartze.