Preliminary experience of surgical treatment for torus tubarius hypertrophy in children.
10.3760/cma.j.cn115330-20210412-00196
- VernacularTitle:儿童圆枕增生外科处理的初步探讨
- Author:
Shu Zhi YANG
1
;
Cheng Yong ZHOU
1
;
Feng WANG
1
;
Ze Li HAN
1
;
Bao Chun SUN
1
;
Wu Han Hui WAN
1
;
Yao SHEN
1
;
Hong Jia ZHANG
1
;
Jiao ZHANG
1
Author Information
1. Department of Otorhinolaryngology Head and Neck Surgery, the Fourth Medical Center of the People's Liberation Army General Hospital, Beijing 100142, China ColIege of Otolaryngology Head and Neck Surgery, Chinese People's Liberation Army General Hospital, National Clinical Research Center for Otolaryngologic Diseases, Beijing 100048, China.
- Publication Type:Journal Article
- MeSH:
Adenoidectomy;
Adenoids/surgery*;
Adolescent;
Child;
Child, Preschool;
Female;
Humans;
Hypertrophy/surgery*;
Infant;
Male;
Retrospective Studies;
Sleep Apnea, Obstructive/surgery*
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2022;57(4):505-509
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To assess the incidence of symptomatic torus tubarius hypertrophy (TTH) in recurred OSA in children, and to explore the preliminary experience of partial resection of TTH assisted with radiofrequency ablation. Methods: From January 2004 to February 2020, 4 922 children, who diagnosed as OSA and received adenotonsillectomy at the Department of Otolaryngology, The 4th Medical Center of the PLA General Hospital, were retrospectively reviewed. There were 3 266 males and 1 656 females, the age ranged from 1 to 14 years old(median age of 5.0 years). Twenty-two cases were identified with recurrence of OSA syndrome, and the clinical data, including sex, age of primary operation, age of recurrence and presentation, and opertation methods were analyzed. Follow-up was carried out by outpatient visit or telephone. Graphpad prism 5.0 software was used for statistical analysis. Results: Twenty-two cases were identified as recurred OSA and received revised surgery in 4 922 cases. Among these 22 cases, 11 cases were diagnosed as TTH resulting in an incidence of 2.23‰(11/4 922), 1 case was cicatricial adhesion on tubal torus (0.20‰, 1/4 922), 10 cases were residual adenoid combined with tubal tonsil hypertrophy (2.03‰, 10/4 922). Median age of primary operation was 3.0 years (range:2.4 to 6.0 years) in 11 TTH cases. Recurrent interval varied from 2 months to 5.5 years (2.4±1.9 years) after first operation. Age of revised partial resection of TTH was 7.0±2.7 years (range: 4.0 to 12.0 years). Average time interval between primary operation and revised operation was 3.5±2.1 years (range: 0.5 to 6.0 years). Individualized treatments were carried out based on partial resection of TTH assisted with radiofrequency ablation. All of 11 cases received satisfied therapeutic results without nasopharyngeal stenosis occured. Twenty-two cases were followed up for 1.6 to 13 years (median follow-up time was 6.2 years). Conclusions: TTH contributed to recurred OSA in child. TTH might be misdiagnosed as tubal tonsil hypertrophy. Partial resection of TTH assisted with radiofrequency ablation was a safty and effective treatment.
